Cargando…
A Patient With Foot Pain Found to Have Leriche Syndrome: A Case Report and Brief Review of the Literature
Leriche syndrome, a rare and critical complication of peripheral arterial disease (PAD), affects the distal abdominal aorta (infrarenal) and, similar to PAD, is a result of plaque buildup in the arterial lumen. The Leriche syndrome triad includes claudication in the proximal lower extremity, decreas...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10276767/ https://www.ncbi.nlm.nih.gov/pubmed/37332424 http://dx.doi.org/10.7759/cureus.39199 |
_version_ | 1785060148221313024 |
---|---|
author | Bengio, Moshe Ta, Quan Goodwin, Glenn De Kok, Megan Scumpia, Alexander J |
author_facet | Bengio, Moshe Ta, Quan Goodwin, Glenn De Kok, Megan Scumpia, Alexander J |
author_sort | Bengio, Moshe |
collection | PubMed |
description | Leriche syndrome, a rare and critical complication of peripheral arterial disease (PAD), affects the distal abdominal aorta (infrarenal) and, similar to PAD, is a result of plaque buildup in the arterial lumen. The Leriche syndrome triad includes claudication in the proximal lower extremity, decreased or absent femoral pulses, and, in some cases, impotence. This article presents a patient with an atypical presentation of foot pain who was subsequently found to have Leriche syndrome. The patient was a 59-year-old female, a former smoker, who presented to the emergency department (ED) with atraumatic, acute right foot pain. All right lower extremity pulses were faintly audible on bedside Doppler. Computed tomography with angiography of the abdominal aorta revealed a Leriche-type occlusion of the infrarenal abdominal aorta and left common iliac and a 10 cm right popliteal arterial occlusion. Pharmacological anticoagulation was initiated by the ED. Definitive treatment in this patient included catheter-directed tissue plasminogen activator lysis to the thrombus on the right and placement of kissing stents in the distal aorta without complication. The patient made an excellent recovery and had a complete resolution of her symptoms. PAD is an omnipresent condition and, when untreated, can result in a myriad of high mortality and morbidity conditions such as Leriche syndrome. Collateral vessel formation can make the symptoms of Leriche syndrome vague and inconsistent, often making early recognition difficult. Optimal outcomes hinge on the clinician’s ability to efficiently recognize, diagnose, stabilize, and coordinate multidisciplinary involvement of vascular and interventional radiology specialties. Case reports such as this one help to illuminate some of the more infrequent presentations of Leriche syndrome. |
format | Online Article Text |
id | pubmed-10276767 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-102767672023-06-18 A Patient With Foot Pain Found to Have Leriche Syndrome: A Case Report and Brief Review of the Literature Bengio, Moshe Ta, Quan Goodwin, Glenn De Kok, Megan Scumpia, Alexander J Cureus Emergency Medicine Leriche syndrome, a rare and critical complication of peripheral arterial disease (PAD), affects the distal abdominal aorta (infrarenal) and, similar to PAD, is a result of plaque buildup in the arterial lumen. The Leriche syndrome triad includes claudication in the proximal lower extremity, decreased or absent femoral pulses, and, in some cases, impotence. This article presents a patient with an atypical presentation of foot pain who was subsequently found to have Leriche syndrome. The patient was a 59-year-old female, a former smoker, who presented to the emergency department (ED) with atraumatic, acute right foot pain. All right lower extremity pulses were faintly audible on bedside Doppler. Computed tomography with angiography of the abdominal aorta revealed a Leriche-type occlusion of the infrarenal abdominal aorta and left common iliac and a 10 cm right popliteal arterial occlusion. Pharmacological anticoagulation was initiated by the ED. Definitive treatment in this patient included catheter-directed tissue plasminogen activator lysis to the thrombus on the right and placement of kissing stents in the distal aorta without complication. The patient made an excellent recovery and had a complete resolution of her symptoms. PAD is an omnipresent condition and, when untreated, can result in a myriad of high mortality and morbidity conditions such as Leriche syndrome. Collateral vessel formation can make the symptoms of Leriche syndrome vague and inconsistent, often making early recognition difficult. Optimal outcomes hinge on the clinician’s ability to efficiently recognize, diagnose, stabilize, and coordinate multidisciplinary involvement of vascular and interventional radiology specialties. Case reports such as this one help to illuminate some of the more infrequent presentations of Leriche syndrome. Cureus 2023-05-18 /pmc/articles/PMC10276767/ /pubmed/37332424 http://dx.doi.org/10.7759/cureus.39199 Text en Copyright © 2023, Bengio et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Emergency Medicine Bengio, Moshe Ta, Quan Goodwin, Glenn De Kok, Megan Scumpia, Alexander J A Patient With Foot Pain Found to Have Leriche Syndrome: A Case Report and Brief Review of the Literature |
title | A Patient With Foot Pain Found to Have Leriche Syndrome: A Case Report and Brief Review of the Literature |
title_full | A Patient With Foot Pain Found to Have Leriche Syndrome: A Case Report and Brief Review of the Literature |
title_fullStr | A Patient With Foot Pain Found to Have Leriche Syndrome: A Case Report and Brief Review of the Literature |
title_full_unstemmed | A Patient With Foot Pain Found to Have Leriche Syndrome: A Case Report and Brief Review of the Literature |
title_short | A Patient With Foot Pain Found to Have Leriche Syndrome: A Case Report and Brief Review of the Literature |
title_sort | patient with foot pain found to have leriche syndrome: a case report and brief review of the literature |
topic | Emergency Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10276767/ https://www.ncbi.nlm.nih.gov/pubmed/37332424 http://dx.doi.org/10.7759/cureus.39199 |
work_keys_str_mv | AT bengiomoshe apatientwithfootpainfoundtohavelerichesyndromeacasereportandbriefreviewoftheliterature AT taquan apatientwithfootpainfoundtohavelerichesyndromeacasereportandbriefreviewoftheliterature AT goodwinglenn apatientwithfootpainfoundtohavelerichesyndromeacasereportandbriefreviewoftheliterature AT dekokmegan apatientwithfootpainfoundtohavelerichesyndromeacasereportandbriefreviewoftheliterature AT scumpiaalexanderj apatientwithfootpainfoundtohavelerichesyndromeacasereportandbriefreviewoftheliterature AT bengiomoshe patientwithfootpainfoundtohavelerichesyndromeacasereportandbriefreviewoftheliterature AT taquan patientwithfootpainfoundtohavelerichesyndromeacasereportandbriefreviewoftheliterature AT goodwinglenn patientwithfootpainfoundtohavelerichesyndromeacasereportandbriefreviewoftheliterature AT dekokmegan patientwithfootpainfoundtohavelerichesyndromeacasereportandbriefreviewoftheliterature AT scumpiaalexanderj patientwithfootpainfoundtohavelerichesyndromeacasereportandbriefreviewoftheliterature |