PMC4404841_01
Black and gangrenous eschar tissue in the right third digit previously amputated to the middle phalanx with distal gangrene and erythema around the right middle metacarpophalangeal joint.
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PMC4404841_01_eplasty15ic22_fig1.jpg
F1
A 43-year-old white woman with a recent partial amputation at another hospital due to a nonhealing fingertip wound presented with gangrene of the residual digit and associated swelling and erythema (Fig 1).
Angiography of right upper extremity showing high-grade stenosis in the distal radial artery with multiple tiny filling defects. The common and proper palmar digital arteries are heavily diseased with multiple occlusions. The princeps pollicis artery is occluded with reconstitution of the first digital artery from collaterals. Remaining digital arteries are heavily diseased with multiple occlusions. The heavily diseased third digital arteries supply the partially amputated third digit.
eplasty15ic22_fig2.jpg
PMC4404841_01_eplasty15ic22_fig2.jpg
F2
Angiography showed heavily diseased arteries of the right hand (Fig 2), and a diagnosis of thromboangiitis obliterans or Buerger's disease was made.
Ten weeks after ray amputation of the right third digit.
eplasty15ic22_fig3.jpg
PMC4404841_01_eplasty15ic22_fig3.jpg
F3
After she ceased tobacco use, a ray amputation of the right third digit was performed (Fig 3).