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Updated: Jan 9, 2026

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Leriche's syndrome presenting as sciatica.

Yao-Chang Wang1, Yen-Shuo Chiu, Chi-Hsiao Yeh

  • 1Department of Cardiovascular Surgery, Chang Gung Memorial Hospital, Keelung, Taiwan. bladderwang@gmail.com

Annals of Vascular Surgery
|May 22, 2010
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Summary
This summary is machine-generated.

Sciatica can stem from aortoiliac obstruction, not just back issues. Prompt vascular evaluation is crucial for diagnosing and treating this lower back pain cause.

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Area of Science:

  • Vascular Surgery
  • Pain Management
  • Diagnostic Imaging

Background:

  • Sciatica is a frequent symptom of lower back pain and claudication.
  • The underlying causes of sciatica are frequently misdiagnosed.
  • Aortoiliac obstruction can present with sciatica-like symptoms.

Observation:

  • A 53-year-old male patient presented with sciatica.
  • Clinical examination revealed aortoiliac obstruction, absent femoral pulses, and a low ankle vascular index (0.4).
  • An aortogram showed severe stenosis in the aortic bifurcation and common iliac arteries.

Findings:

  • Surgical intervention involved resection of the diseased aorta and insertion of an aortoiliac graft.
  • Post-operative symptoms of sciatica resolved completely.
  • The case demonstrates a direct link between vascular pathology and sciatica.

Implications:

  • Highlights the necessity of comprehensive vascular assessments in patients with sciatica.
  • Suggests that vascular causes should be considered in the differential diagnosis of sciatica.
  • Emphasizes the importance of early detection and treatment of aortoiliac disease to alleviate sciatica symptoms.