ABSTRACT
History A 71-year-old man is referred to the vascular surgical team with right leg pain. He is known to suffer from atherosclerotic peripheral vascular disease and is currently being treated conservatively for claudication. The pain in his right leg started suddenly 3 hours previously, with an achy discomfort that is not relieved by simple analgesia or positioning. Limited by pain, his mobility has reduced to only a few steps, and he reports increasing discoloration of his right foot compared to the left.
