A Case of Right Posterior Tibial Artery Rupture Suspected Vascular-type Ehlers-Danlos Syndrome Treated with Transcatheter Arterial Embolization

Abstract

We report a case of a 30-year-old man who presented with sudden-onset right leg pain. The patient had a past medical history of dendriform pulmonary ossification, dural arteriovenous malformation, left carotid-cavernous sinus fistula, and symptomatic epilepsy. After presenting at our hospital, he was diagnosed with right posterior tibial artery rupture associated with type IV Ehlers-Danlos syndrome (EDS). He was then successfully treated with transcatheter coil embolization and underwent several rehabilitation sessions. However, he died suddenly as a result of a rupture of the right external iliac artery 23 days after transcatheter treatment. EDS is an uncommon inherited disease that has many connective tissue complications, such as hyperextension of the joint and arteriovenous malformation. Most notably, type IV EDS causes massive complications, including aortic and visceral arterial ruptures, aneurysms, dissection, and gastrointestinal perforation. When encountering patients with a significant past medical history of tissue complications, it is important to be aware of the possible symptoms of EDS and to perform urgent and appropriate investigations and treatments if necessary.