Presentation
Right foot gangrene. History of left above knee amputation due to left foot gangrene.
Patient Data
Complete occlusion of the aorta distal to the renal arteries extending up to the bilateral internal and external iliac arteries in keeping with aortoiliac occlusive disease (Leriche syndrome type 2).
Multiple arterial collaterals at the abdomen, pelvis, and both lower limbs.
Below knee amputation of left lower limb.
Case Discussion
Leriche syndrome is a clinical syndrome characterized by decreased or absent femoral pulse, intermittent claudication and impotence secondary to occlusion of the aorta distal to the renal arteries, hence called aortoiliac occlusive disease. This patient had history of above knee amputation due severe peripheral vascular disease and presented with right foot gangrene and vascular imaging showed type 2 aortoiliac occlusive disease.
Unable to process the form. Check for errors and try again.