| Title: |
Medical image of the week: Leriche syndrome |
| Authors: |
Berlinberg A; Elaini T; Hypes C |
| Source: |
Southwest Journal of Pulmonary and Critical Care, Vol 12, Iss 2, Pp 72-73 (2016) |
| Publisher Information: |
Arizona Thoracic Society |
| Publication Year: |
2016 |
| Collection: |
Directory of Open Access Journals: DOAJ Articles |
| Subject Terms: |
Leriche syndrome; collateral arteries; CT runoff; CT scan; claudication; erecticle dysfunction; femoral pulse; aortic occlusion; atrophic kidney; diagnosis; Medical emergencies. Critical care. Intensive care. First aid; RC86-88.9; Diseases of the respiratory system; RC705-779 |
| Description: |
No abstract available. Article truncated at 150 words. A 68-year-old man with GOLD stage 4 COPD was admitted to the Intensive Care Unit for worsening hypoxic and hypercarbic respiratory failure. The patient was treated with steroids for COPD exacerbation, and required continuous BIPAP. On hospital day 2 concern arose for possible pulmonary embolism given worsening oxygenation despite BIPAP, and a thoracic CT angiogram was performed. On imaging, an incidental finding was discovered that the patient had complete occlusion of his aortic artery at the level of the renal arteries with extensive collaterals throughout the abdomen (Figure 1). The patient had palpable pulses in both feet and extremities were warm to touch bilaterally with recovered circulation, as verified on CT runoff (Figure 2). Vascular surgery was consulted, and a decision was made for no surgical intervention given the extensive collateral system and likely chronic time course. On further questioning the patient had limited ability to ambulate due to claudication. . |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
http://www.swjpcc.com/imaging/2016/2/24/medical-image-of-the-week-leriche-syndrome.html; https://doaj.org/toc/2160-6773; https://doaj.org/article/601eca36f4a448198e9e21c3fdd43cad |
| DOI: |
10.13175/swjpcc004-16 |
| Availability: |
https://doi.org/10.13175/swjpcc004-16; https://doaj.org/article/601eca36f4a448198e9e21c3fdd43cad |
| Accession Number: |
edsbas.9711DEE |
| Database: |
BASE |