94 year old female, worsening right toe and foot pain. Seen by primary care and diagnosed as having gout. The clinical findings of critical limb ischemia - dry scaly skin, nail changes, absent pulses and a punched out ulcer on the 2nd toe - were ignored. Popliteal artery occlusion treated with atherectomy.
94 year old female, worsening right toe and foot pain. Seen by primary care and diagnosed as having gout.
Nutcracker syndrome is one of the causes of secondary pelvic congestion syndrome.