• Abdullah Küçükalp, Kemal Durak, and Muhammet Sadık Bilgen.
• Department of Orthopedics and Traumatology, Suşehri State Hospital, Sivas, Turkey. karalama@mynet.com.
• Ulus Travma Acil Cer. 2013 Sep 1; 19 (5): 475-9.

AbstractVasospasm that develops in association with ergotamine use is a rarely seen but well-understood complication. A case is presented here of multiple fractures in which arteriospasm affecting all the arteries of the lower limb on the same side occurred 10 days post-trauma. In this case, the arteriospasm resulting from ergotamine addiction and high doses of ergotamine, which may be confused with post-traumatic angiospasm, was treated with a marcaine infusion by epidural catheter and heparin, iliomedin and nitronal infusion intravenously. This clinical condition should be borne in mind for all trauma cases determined to have arterial vasospasm, and the use of ergotamine must be queried when taking the anamnesis from the patient.

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