Acute Infrarenal Abdominal Aortic and Bilateral Common Iliac Artery Occlusions in an Elderly Female: A Case Report.

Autor: Hasan Q; Osteopathic Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA., Griffin CM; Graduate Medical Education, Broward Health North, Deerfield Beach, USA., Doerffler A; Emergency Medicine, Broward Health North, Deerfield Beach, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 May 08; Vol. 16 (5), pp. e59913. Date of Electronic Publication: 2024 May 08 (Print Publication: 2024).
DOI: 10.7759/cureus.59913
Abstrakt: Acute aortic occlusions (AAOs) are rare vascular emergencies associated with high morbidity and mortality. Presenting signs and symptoms vary but typically involve the lower extremities and include mottled skin with diminished pedal pulses, paresis, and severe pain. Prompt recognition and imaging are necessary to prevent rapid deterioration, which can lead to loss of limb or death. Treatment includes surgical or endovascular interventions based on patient-associated risk factors and clot location. We present a 76-year-old female who arrived at the emergency department with an AAO involving the infrarenal abdominal aorta and bilateral common iliac arteries. Efficient physical examination and utilization of computed tomography with angiography of the abdomen and pelvis allowed for the appropriate recognition of the AAO and subsequent successful surgical embolectomy. This case report underscores the importance of an expeditious clinical and radiographic evaluation in patients presenting with lower extremity pain and weakness.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2024, Hasan et al.)
Databáze: MEDLINE