case_images: PMC11751399_01
case_images: The process of injecting bone cement into the L2 and L3 vertebrae. The high-density material can be observed to leak out of the left anterior aspect of the L3 vertebrae in a tubular shape (red arrow).
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case_images: fig1
case_images: Intraoperative fluoroscopy was performed at the end of the procedure, and the cement in the L3 vertebral body was found to have spilled into the blood vessels (Fig. 1).
case_images: Postoperative lumbar CT sagittal and transverse views showing linear leakage of the third lumbar segmental artery (red arrows).
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case_images: fig2
case_images: Abdominal and lower extremity arteriography confirmed the presence of cement emboli in the inferior mesenteric artery and branches, the right peroneal, posterior tibial, and anterior tibial arteries (Fig. 2, Fig. 3, Fig. 4B).
case_images: Transverse CT-enhanced images show diffuse bowel wall thickening in the splenic flexure of the colon (A) and bowel wall thickening in the descending colon (B).
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case_images: fig4
case_images: Abdominal and lower extremity arteriography confirmed the presence of cement emboli in the inferior mesenteric artery and branches, the right peroneal, posterior tibial, and anterior tibial arteries (Fig. 2, Fig. 3, Fig. 4B).
case_images: Intraoperative images of embolus removal. (A) Intraoperative picture showing the tubular cemented embolus seen after incision of the left posterior tibial artery, (B) the embolus was clamped using vascular clamps and successfully removed, and (C) the cemented embolus in the posterior tibial artery was removed intact with a length of about 9 cm.
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case_images: fig5
case_images: After incision of the posterior tibial artery, the cemented embolus was removed from the vessel in segments and the thrombus was removed through a double-lumen embolectomy catheter (Fig. 5A-C).
case_images: Gross photograph of the left foot of the patient. (A) The preoperative left foot is ischemic and bluish in color, and (B) the left foot at 4 months postoperatively shows partial necrosis of the skin of the distal left thumb without further gangrene.
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case_images: fig6
case_images: At the 3-month follow-up, the patient's skin temperature in the left lower thigh was almost normalized (Fig. 6A-B), with significant recovery of sensation and movement, and she could walk on the ground with the assistance of a walker.