101 year old female, admitted to the hospital with foot and toe pain. Patient had a cool pulseless foot. CT Angiography showed multilevel peripheral arterial disease. No physiologic testing was done. Patient told the pain was due to an ingrown toe nail and sent home on narcotics. The patient went to podiatry and was correctly diagnosed as having critical limb ischemia.
Iliac vein compression may cause pelvic venous congestion.
Asymptomatic slowly enlarging internal iliac artery aneurysm
67 year old male, type1 diabetic, with painful ulceration at the tip of the second toe. Patient did not toe amputation.