PMC3971856_01
Left foot of the patient. The arrows depict gangrene of the 1st and 2nd toes. Also note the cyanosis of the rest of toes and ischemic changes on the skin of the foot.
CRIVAM2014-183969.001.jpg
PMC3971856_01_CRIVAM2014-183969.001.jpg
fig1
Additionally the patient gave history of pain in the left lower limb for the past month with blackening of the toes of left lower limb for the past week (Figure 1).
CT angiogram. The arrow depicts the abnormally large internal iliac artery. The arrowhead depicts the aneurysmal dilatation. Note the normal-sized internal iliac artery of the opposite side.
CRIVAM2014-183969.002.jpg
PMC3971856_01_CRIVAM2014-183969.002.jpg
fig2
The angiogram revealed a remarkably large left internal iliac artery with fusiform aneurysmal dilatation (Figure 2).
Volume rendering image of CT angiogram. The arrows show the course of persistent sciatic artery through the thigh and its distal run-off to the popliteal artery. Note that the popliteal artery of the opposite limb is supplied by the superficial femoral artery.
CRIVAM2014-183969.003.jpg
PMC3971856_01_CRIVAM2014-183969.003.jpg
fig3
CT angiogram. The arrows depict the course of the external iliac artery and the superficial femoral system. Note that the femoral vessel is hypoplastic compared with the normal opposite limb and ends in the thigh.
CRIVAM2014-183969.004.jpg
PMC3971856_01_CRIVAM2014-183969.004.jpg
fig4
The opposite limb had normal arterial anatomy (Figure 4).