Published in:
Open Access 01-09-2008 | Clinical image
Leriche syndrome
Published in: International Journal of Emergency Medicine | Issue 3/2008
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A 45-year-old man with a past history of diabetes mellitus, coronary artery disease with two-vessel disease, and peripheral arterial occlusive disease with gangrene of the left big toe, status post amputation, presented to the emergency department. He was a heavy smoker and complained of severe distension, vomiting, and diffuse abdominal pain for 4–5 days. Computed tomography (CT) was performed to determine if the pain and distension were caused by intestinal obstruction or ischemic bowel syndrome (Fig. 1). CT scan revealed aortoiliac occlusive disease (Leriche syndrome). The patient underwent bilateral axillofemoral bypass.
Fig. 1
Coronal reconstruction of contrast-enhanced CT scan of the abdomen revealed thrombosis from the distal abdominal aorta to the bilateral common femoral arteries
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