Lerich syndrome revealed by renal failure: a case report

Lerich syndrome, also known as aorto-iliac obliteration syndrome, is a specific entity among obliterative arteriopathies of the lower limbs, is defined as thrombotic occlusion of the aorto-iliac junction. We report a case of 60-yearold patient, chronic smoker with hypertension disease. He was admitted for an assessment of renal failure, in whom the diagnosis of chronic kidney disease was confirmed. Moreover, in the presence of renal asymmetry (4,9 cm) on renal ultrasound, a CT angiography was requested, confirming the diagnosis of Lerich syndrome with renal artery stenosis. A complementary assessment, including etiological one was performed, revealing no abnormalities. Therapeutically, the patient was placed on intermittent hemodialysis and curative anticoagulation. Our case represents a rare and fortuitous discovery of Lerich syndrome.