case_images: PMC11422033_01
case_images: Computed tomography angiography images. (A) Evidence of a saddle embolus of the aortic bifurcation (red arrow) and occlusion of the right iliac axis. (B) Visceral involvement with multiple focal, wedge shaped renal parenchymal defects involving both the cortex and medulla and extending to the capsular surface (green arrows).
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case_images: Computed tomography angiography (CTA) showed an occlusion of the aortic bifurcation, with concomitant non-contiguous complete occlusion of the left external iliac and superficial femoral arteries (Fig. 1A). Synchronous splenic and renal infarctions were also observed (Fig. 1B).
case_images: Final angiogram displaying successful aorto-iliac recanalisation after surgical embolectomy.
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case_images: A final angiogram provided confirmation of restoration of the circulation (Fig. 2).
case_images: Tumour cell immunoreactivity and identification in the histological analysis of the embolic material. (A) Diffuse immunoreactivity for calretinin and (B) cytokeratin AE1/AE3; (C) focal immunoreactivity for S100 protein; (D) ETS related gene (ERG) highlighting endothelial cells but not perivascular tumour cells (H&E 200x).
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case_images: Histological analysis confirmed the diagnosis of a myxomatous embolus (Fig. 3).