Summary:
Introduction: Acute upper limb ischemia is usually caused
by compression of cervical rib on subclavian artery. But in
very few cases compression may be caused by cervical band
which is not evident in conventional radiography.
Results and Discussion: This is a case of a 26 year old lady,
housewife, having rudimentary cervical rib, presented with
acute left upper limb ischemia due to subclavian artery
aneurysm. Peroperatively cervical fibrotic bandwas identified
and diagnosed as the cause of subclavian artery aneurysm
instead of rudimentary cervical rib. Scalenectomy, excision
of the cervical band, excision of the aneurysmsac and arterial
reconstruction of the subclavian artery was performed. Her
operation was uneventful, postoperative recovery was
excellent. She was discharged to home on 4th postoperative
day ensuring good distal pulsation of affected limb.
Conclusion: Though rare, cervical band is a cause of acute
upper limb ischemia. So, we must not forget while diagnosing
this type of cases.
Key Words: Cervical fibrotic band,Cervical rib,Subclavian
artery aneurysm
(J Banagladesh Coll Phys Surg 2015; 33: 101-104)