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Japanese

A Case of Leriche Syndrome Associated with Complete Thrombotic Obstruction of an Abdominal Aortic Aneurysm Atsushi Ohira 1 , Shinji Makita 1 , Madoka Sato 1 , Shigehiro Ito 1 , Atsuo Hirose 2 , Kunihiro Yoshioka 2 , Takayuki Nakajima 3 , Kenji Komoda 3 , Kouhei Kawazoe 3 , Katsuhiko Hiramori 1 1Second Department of Internal Medicine, Iwate Medical University, School of Medicine 2Department of Radiology, Iwate Medical University, School of Medicine 3Third Department of Surgery, Iwate Medical University, School of Medicine Keyword: Leriche症候群 , 腹部大動脈瘤 , 高位腹部大動脈閉塞症 , Leriche syndrome , abdominal aortic aneuysm , high aorto-iliac occlusion pp.861-864
Published Date 1996/8/15
DOI https://doi.org/10.11477/mf.1404900013
  • Abstract
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We reported a case of Leriche syndrome associated with complete thrombotic obstruction of an abdominal aortic aneuysm. Reports about chronic occlusion as-sociated with an abdominal aortic aneuysm are very rare. A 70-year-old man came to our hospital with his chief complaints being typical symptoms of Lerichesyndrome such as intermittent claudication, atrophy of the lower extremities and impotence which had been progressive over the past 10 years. Intravenous digital angiography showed that the abdominal aorta was completely occluded from just below the renal arteries to include both of the common iliac arteries. Both external iliac arteries were patent for well-developed collateral path ways. Abdominal CT scan showed a thrombosed abdominal aortic aneuysm below the renal arteries. We diagnosed Leriche syndrome associated with complete thrombotic obstruction of an abdominal aortic aneuysm and treated the patient with axillo-bifemoral bypass grafting. After that, symptoms of Leriche syndrome were relieved. In such cases, how-ever, careful consideration should be given to several risk factors such as delayed aortic rupture and dysfunc-tion of various viscera due to thrombotic progression in the upper abdominal aorta.


Copyright © 1996, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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