# Distal Abdominal Aortic Thrombus With Approximately Full Occlusion—A Case of Pre‐Endovascular Care in Resource‐Limited Settings

## TL;DR

This case report describes a rare arterial emergency in a resource-limited setting where a patient's limb was saved using an intra-arterial infusion.

## Contribution

The paper presents a novel case of successful intra-arterial papaverine use in managing a distal abdominal aortic thrombus.

## Key findings

- Conservative thrombolytic treatments failed for the patient with a distal abdominal aortic thrombus.
- Intra-arterial papaverine infusion successfully salvaged the patient's ischemic lower limb.
- The case highlights challenges in managing vascular emergencies in resource-limited settings.

## Abstract

Up‐to‐date management of a distal abdominal aortic thrombus is challenging as no dedicated guideline for treating this condition exists. In our setting, it is one of the rare arterial vascular emergencies that can lead to devastating consequences and an increase in patient morbidity or mortality. For this publication, we have a case report of an elderly female of Asian descent who failed multiple attempts of conservative management with thrombolytics but benefited from an intra‐arterial papaverine infusion to salvage her ischemic lower limb.