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Dead Legs: A Case of Bilateral Leg Paralysis
Faith Quenzer1, Joel Stillings1, Jacqueline Le1
1Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California.
Clinical Practice and Cases in Emergency Medicine
|June 1, 2018
Summary
Aortoiliac occlusive disease (AOD), or Leriche syndrome, involves abdominal aorta thrombosis. This case highlights AOD complicated by aortic dissection, leading to organ failure.
Area of Science:
- Vascular Surgery
- Cardiology
- Internal Medicine
Background:
- Aortoiliac occlusive disease (AOD), known as Leriche syndrome, is rare abdominal aorta thrombosis.
- Classic symptoms include buttock/thigh/calf claudication, absent femoral pulses, and impotence.
- Risk factors include smoking, hypertension, hyperlipidemia, diabetes, renal insufficiency, and hypercoagulopathy.
Observation:
- This case details AOD complicated by a Stanford Type B aortic dissection.
- The complication led to multi-system organ failure.
Findings:
- Aortoiliac occlusive disease (AOD) can present with severe ischemic complications.
- Aortic dissection is a critical, life-threatening complication of AOD.
- Multi-system organ failure can result from this complex presentation.
Implications:
- Early identification and management of AOD risk factors are crucial.
- Recognizing Leriche syndrome and its potential complications like aortic dissection is vital for timely intervention.
- This case underscores the importance of comprehensive patient assessment in vascular emergencies.
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