摘要

we report a case of lower limb critical ischemia associated with chemotherapy with gemcitabine. this report presents a case of a 68-year-old man who underwent pancreatoduodenectomy due to pancreas tumor. one month later, the patient was submitted to four chemotherapy sessions with gemcitabine for 1 month. in addition, 30 days later he developed symptoms of peripheral arterial obstructive disease, and critical ischemia of the right lower limb 2 weeks later. an imaging study showed diffuse arterial disease associated with femoropopliteal occlusion and poor distal bed. the patient was submitted to a revascularization procedure, which was unsuccessful due to local conditions, resulting in above-knee amputation.

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