Leriche syndrome presents as a triad of claudication, erectile dysfunction, and decreased distal pulses. This syndrome is a well-recognized entity in the current literature; however, our case report illustrates that even with a severe ostial lesion of the inferior mesenteric artery, the vessel was able to provide perfusion to bilateral lower extremities. The patient presented with symptoms of progressive pain in his right leg that limited his physical activity and he also complained of paresthesia, pallor, and cold skin with black discoloration of his toes bilaterally. Diagnostic testing confirmed Leriche syndrome and he successfully underwent surgical revascularization.
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| http://dx.doi.org/10.1177/2050313X17740513 | DOI Listing |
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Article Synopsis
- Acute Leriche syndrome is a serious condition characterized by reduced blood flow to the lower limbs, typically indicated by pain, paleness, and coldness, though symptoms may not always be present, complicating diagnosis.
- An 83-year-old man presented with sudden leg weakness (paraparesis), which was initially misdiagnosed as a spinal cord issue, but imaging revealed no spinal problems and identified aortoiliac occlusion instead.
- The case highlights the need to consider Leriche syndrome in patients with unexplained leg weakness and the importance of assessing for subtle signs like muscle atrophy in the thighs.
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