Digit Survival After Prolonged Digital Tourniquet Application Associated with Severe Venous Congestion.

Case: A 22-year-old roofer presented to the emergency department with partial amputation of the leftmiddle finger. He was treated with revision amputation using a glove tourniquet. He followed up 14 days later demonstrating a retained tourniquet with severe ischemic changes. The patient was managed conservatively with aspirin, smoking cessation, and observation. Conclusion: At 2-year follow-up, he had normal sensation and function and returned to work. A finger with severe, but incomplete arterial occlusion and profound venous congestion can be salvaged with conservative management of observation and anticoagulation with aspirin therapy after prolonged ischemia of 14 days. [ABSTRACT FROM AUTHOR]