# Leveraging Point‐Of‐Care Ultrasound to Diagnose a Rare Arterial Occlusive Thrombus in a Child: A Case Study

## TL;DR

A rare case of arterial thrombosis in a child was diagnosed using point-of-care ultrasound after orthopedic surgery.

## Contribution

The paper presents a novel application of POCUS in diagnosing arterial thrombosis in a child with orthopedic hardware.

## Key findings

- POCUS successfully identified arterial thrombosis in a child with metallic orthopedic frames.
- The case emphasizes the importance of a multidisciplinary approach in managing complex pediatric thrombosis.

## Abstract

Pediatric arterial thromboembolism is an extremely rare and serious complication, especially rare when it is noncatheter‐related. Most of the literature describes venous and catheter‐related thromboembolism. We report a case of a 10‐year‐old boy with hereditary multiple exostosis who developed acute limb ischemia following deformity correction and Ilizarov ring fixation for limb lengthening. This case highlights two issues: the role of Point of Care Ultrasound (POCUS) and the management of an epidural catheter amidst unanticipated anticoagulation. It also demonstrates the importance of a multidisciplinary team‐based approach for optimum management at each level.

This case report illustrates the successful use of ultrasound imaging of arterial thrombosis in a child following orthopedic surgery, where regular diagnosis was difficult due to the presence of metallic orthopedic frames.