Document Detail

Leriche's syndrome presenting as sciatica.
MedLine Citation:
PMID:  20488654     Owner:  NLM     Status:  MEDLINE    
Sciatica is a common cause of lower back pain and claudication; the true etiology is often misunderstood. We report a case of a 53-year-old man who presented with sciatica. Clinically, there was evidence of aortoiliac obstruction with the absence of femoral pulses and a vascular index of 0.4 at the ankle. An aortogram revealed a very tight irregular stenosis of the aortic bifurcation and bilateral proximal common iliac arteries. After resection of diseased aorta, an aortoiliac graft was inserted. The symptoms subsided. This case highlights the importance of performing a complete vascular evaluation in patients diagnosed with sciatica.
Yao-Chang Wang; Yen-Shuo Chiu; Chi-Hsiao Yeh
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-05-20
Journal Detail:
Title:  Annals of vascular surgery     Volume:  24     ISSN:  1615-5947     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-28     Completed Date:  2010-10-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  694.e1-3     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved.
Department of Cardiovascular Surgery, Chang Gung Memorial Hospital, Keelung, Taiwan.
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MeSH Terms
Angiography, Digital Subtraction
Aortography / methods
Blood Vessel Prosthesis Implantation
Intermittent Claudication / etiology*
Leriche Syndrome / complications,  diagnosis*,  surgery
Middle Aged
Sciatica / etiology*
Tomography, X-Ray Computed
Treatment Outcome

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