[Lower limp ischemia due to femoral artery thrombosis after rectal excinian in lithotomy position]

Lower limb ischemia is an unusual and severe complication of abdominal surgery. We report a case of left femoral artery thrombosis following elective low anterior resection for rectal cancer in lithotomy position. Despite thrombectomy and femoro-femoral bypass the patient lost the involved limb due to irreversible ischemia. We discuss the factors that my have a role in the occurrence of this complication