Occluded infrarenal aorta

Case contributed by Stefan Tigges
Diagnosis certain

Presentation

Diminished lower extremity pulses.

Patient Data

Age: 50 years.
Gender: Male
x-ray

Extensive aortic/iliac calcifications.

ct

Occlusion infrarenal aorta and common iliac arteries with filling of the inferior mesenteric, femoral, and internal/external iliac arteries from collaterals.

Case Discussion

The inferior mesenteric artery fills retrograde from superior mesenteric artery collaterals. The external/internal iliac and femoral arteries fill from superior to inferior epigastric artery collaterals.

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