Leriche syndrome masquerading as chronic kidney disease

Renal artery stenosis is causative in 2 - 5% patients with hypertension and accounts for 3 - 15% cases of chronic kidney disease (CKD). The affected renal artery is usually occluded by an atheromatous plaque in the elderly or by Takayasu arteritis in younger women. In comparison, occlusion caused by a chronic thrombus is uncommon. Leriche syndrome refers to the chronic thrombotic occlusion of the terminal abdominal aorta and the surrounding branches. This syndrome normally affects infrarenal arteries and chances of involving renal arteries are rare. We report a case of Leriche syndrome manifesting as chronic kidney disease, while its characteristic symptom-claudication is absent.