Foot Pain in Leriche Syndrome

NewsBot · Jun 27, 2023

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A Patient With Foot Pain Found to Have Leriche Syndrome: A Case Report and Brief Review of the Literature
Moshe Bengio et al
Cureus. 2023 May 18;15(5):e39199

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.
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NewsBot · Jun 27, 2023

Aortoiliac occlusive disease

Medical condition

Fluoroscopic image of an aorta affected by Leriche's syndrome

In medicine, aortoiliac occlusive disease is a form of central artery disease involving the blockage of the abdominal aorta as it transitions into the common iliac arteries.

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Foot Pain in Leriche Syndrome

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Foot Pain in Leriche Syndrome

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Aortoiliac occlusive disease

Sudden exertions causing acute pain at ankle/top of foot

Predictive factors for foot pain

Mechanical foot pain: Current and future advances in practice

Burning pain outer left foot/ankle

Patient with outer foot pains

Bilateral Foot Pain in a Child With Crouzon Syndrome

Tibial Nerve Block as Treatment of Chronic Foot Pain

Share This Page

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