Acute presentation of atherosclerotic total distal abdominal aorta occlusion
We are presenting the case of a 49-year-old man, a heavy smoker, who had weakness and wasting of the lower limbs along with neuropathic pain for several months for which no medical care was sought. Presentation to the emergency was prompted by a sudden development of pain in the buttocks and cyanosi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | MRIMS Journal of Health Sciences |
| Subjects: | |
| Online Access: | http://www.mrimsjournal.com/article.asp?issn=2321-7006;year=2023;volume=11;issue=3;spage=213;epage=215;aulast=Gaba |
| _version_ | 1797738442483826688 |
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| author | Saurabh Gaba Monica Gupta Khushbu Dutta Gautam Jesrani |
| author_facet | Saurabh Gaba Monica Gupta Khushbu Dutta Gautam Jesrani |
| author_sort | Saurabh Gaba |
| collection | DOAJ |
| description | We are presenting the case of a 49-year-old man, a heavy smoker, who had weakness and wasting of the lower limbs along with neuropathic pain for several months for which no medical care was sought. Presentation to the emergency was prompted by a sudden development of pain in the buttocks and cyanosis of the lower limbs. Investigations revealed total atherosclerotic occlusion of the infrarenal abdominal aorta with collateral circulation that was responsible for the delayed presentation. Anticoagulation with heparin was initiated but the patient refused to undergo any invasive procedure. This case highlights that atherosclerotic disease of the aortoiliac region or distal abdominal aorta can present with long-standing symptoms apparently of a neurologic disorder with muscle weakness and wasting rather than an occlusive vascular disease. The symptoms of lower limb claudication and pain may be ignored until a catastrophic complete occlusion supervenes manifesting as acute ischemia as in our case. |
| first_indexed | 2024-03-12T13:43:50Z |
| format | Article |
| id | doaj.art-2b171b8d71084f7c88e3f934d1daf529 |
| institution | Directory Open Access Journal |
| issn | 2321-7006 2321-7294 |
| language | English |
| last_indexed | 2024-03-12T13:43:50Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | MRIMS Journal of Health Sciences |
| spelling | doaj.art-2b171b8d71084f7c88e3f934d1daf5292023-08-23T09:45:55ZengWolters Kluwer Medknow PublicationsMRIMS Journal of Health Sciences2321-70062321-72942023-01-0111321321510.4103/mjhs.mjhs_151_22Acute presentation of atherosclerotic total distal abdominal aorta occlusionSaurabh GabaMonica GuptaKhushbu DuttaGautam JesraniWe are presenting the case of a 49-year-old man, a heavy smoker, who had weakness and wasting of the lower limbs along with neuropathic pain for several months for which no medical care was sought. Presentation to the emergency was prompted by a sudden development of pain in the buttocks and cyanosis of the lower limbs. Investigations revealed total atherosclerotic occlusion of the infrarenal abdominal aorta with collateral circulation that was responsible for the delayed presentation. Anticoagulation with heparin was initiated but the patient refused to undergo any invasive procedure. This case highlights that atherosclerotic disease of the aortoiliac region or distal abdominal aorta can present with long-standing symptoms apparently of a neurologic disorder with muscle weakness and wasting rather than an occlusive vascular disease. The symptoms of lower limb claudication and pain may be ignored until a catastrophic complete occlusion supervenes manifesting as acute ischemia as in our case.http://www.mrimsjournal.com/article.asp?issn=2321-7006;year=2023;volume=11;issue=3;spage=213;epage=215;aulast=Gabaabdominal aortaaortoiliacatherosclerosisleriche syndrome |
| spellingShingle | Saurabh Gaba Monica Gupta Khushbu Dutta Gautam Jesrani Acute presentation of atherosclerotic total distal abdominal aorta occlusion MRIMS Journal of Health Sciences abdominal aorta aortoiliac atherosclerosis leriche syndrome |
| title | Acute presentation of atherosclerotic total distal abdominal aorta occlusion |
| title_full | Acute presentation of atherosclerotic total distal abdominal aorta occlusion |
| title_fullStr | Acute presentation of atherosclerotic total distal abdominal aorta occlusion |
| title_full_unstemmed | Acute presentation of atherosclerotic total distal abdominal aorta occlusion |
| title_short | Acute presentation of atherosclerotic total distal abdominal aorta occlusion |
| title_sort | acute presentation of atherosclerotic total distal abdominal aorta occlusion |
| topic | abdominal aorta aortoiliac atherosclerosis leriche syndrome |
| url | http://www.mrimsjournal.com/article.asp?issn=2321-7006;year=2023;volume=11;issue=3;spage=213;epage=215;aulast=Gaba |
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