Acute Limb Ischemia (ALI) is one of the complications of diabetes mellitus (DM) that presents as sudden lower limb ischemia that can result in amputation. The aetiology is broadly divided into embolism and thrombosis with various comorbidities. The symptoms of ALI are abrupt with pain, numbness, and coldness of the lower limb, and paresthesia, contracture, and irreversible purpura will appear with the exacerbation of ischemia. Severity and treatment strategy should be determined based on physical findings and image findings. ALI is a serious disease requiring urgent treatment, and it is essential to promptly perform the best initial treatment that can be performed at each facility. The different therapeutic techniques are presented, ranging from pharmacological (thrombolysis), interventional techniques (thromboaspiration, mechanical thrombectomy), and established surgical revascularization, to minor or major amputation of necessity. We reported a male, 57 years old, with type 2 diabetes mellitus and acute limb ischemic in pedis dextra. This patient undergoes the amputation above the knee in pedis dextra as a treatment for acute limb ischemic and get a good prognosis.
Keywords: Diabetes mellitus, Acute limb ischemia, Amputation, Good prognosis
Key words: Diabetes mellitus, Acute limb ischemia, Amputation, Good prognosis