Leriche syndrome

Lee, Wei-Jing; Cheng, Yung-Ze; Lin, Hung‐Jung

doi:10.1007/s12245-008-0039-x

Cited by 26 publications

(33 citation statements)

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“…La enfermedad se presenta con mayor frecuencia en hombres 2,12,13 , existiendo muy pocos reportes de esta entidad nosológica entre mujeres 7,14 por lo cual han llegado incluso a ser consideradas como presentaciones atípicas; por este motivo el caso clínico presentado en Colombia, se considera relevante.…”

Section: Discussionunclassified

“…Este caso clínico presenta una mujer de 68 años quien tiene múltiples factores de riesgo para enfermedad arterial obstructiva crónica, entre los que se destaca, obesidad, tabaquismo, licor y enfermedad autoinmune tipo lupus eritematoso sistémico, factores claramente descritos también como de riesgo para desarrollar SL 4,10,12,13,15 . Se describe una tríada clásica para el SL: claudicación, impotencia y disminución de pulsos debido a la oclusión aortoilíaca 10 .…”

Section: Discussionunclassified

“…Esta paciente finalmente fue llevada a cirugía para realización de trombectomía abierta y probable bypass arterial, tratamiento descrito y aceptado como opción en los centros donde no se dispone de la técnica endovascular como en el Hospital San José de Popayán 1,11,13 . Infortunadamente se encontró isquemia y necrosis intestinal extensa con descompensación intraoperatoria que obligó a realizar cirugía de control de daños con trombectomía inicial, recesión de intestino necrótico y empaquetamiento.…”

Section: Discussionunclassified

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Caso clínico de interés: síndrome de Leriche

Chaves

Pineda²,

Imbachi³

2016

rcslibre

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El síndrome de Leriche es una afección causada por obstrucción de la aorta terminal, las ramas principales de la aorta abdominal, como en la obstrucción aortoilíaca. El síndrome de Leriche suele darse en varones y está caracterizado por impotencia, ausencia de pulso en las arterias femorales, debilidad y entumecimiento en región lumbar, nalgas, caderas y extremidades inferiores. En muchas ocasiones esta entidad es poco conocida en el ámbito de América Latina; algunos casos reportados en países como Bolivia, Brasil, Argentina, Chile, México entre otros, describen características propias de experiencias en casos de pacientes en algunas instituciones de estos países. Se quiere dar a conocer un caso encontrado en el Hospital San José de Popayán en el área de urgencias y generar la importancia de realizar un enfoque terapéutico adecuado ante entidades con compromiso vascular extenso porque producen un pronóstico catastrófico si no se realiza atención oportuna, diagnóstico precoz y tratamiento temprano. Palabras clave: Enfermedad arterial oclusiva, Obstrucción aorta, Obstrucción de aorta abominal,Síndrome de Leriche. AbstractThe Leriche syndrome is a condition caused by occlusion of terminal aorta, the primary branches of the abdominal aorta, as in aortoiliac obstruction. Leriche syndrome usually occurs in males and is characterized by impotence, absence of a pulse in the femoral arteries, weaknesses and numbness in the lower back, buttocks, hips, and lower limbs. Is more situations disease little known in Latin American, some cases is reported in Bolivia, Brazil, Argentina, Chile, Mexican countries and others, so we want to present a case in Hospital San José, Popayán, Colombia in emergency area and show the importance of suitable clinical examination about vascular disease for early diagnosis and appropriate treatment.

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Caso clínico de interés: síndrome de Leriche

Chaves

Pineda²,

Imbachi³

2016

rcslibre

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“…Bu nedenle alt ekstremitede nörolojik defisit ile gelen olgularda mutlaka periferik nabızların muayenesi yapılmalı-dır. 6,7 Surowiec ve ark., retrospektif olarak inceledikleri akut aortik oklüzyon saptanan 33 olgunun 11'inde başlangıç semptomlarının motor ve duyusal defisit olduğunu gözlemişlerdir. 8 Akhaddar ve RESİM 1: Batın bilgisayarlı tomografi; jejunal anslarda; iskemi ile uyumlu yoğun gaz görüntüsü, abdominal aortada difüz aterosklerotik cidar kalsifikasyon görüntüsü.…”

Section: Discussionunclassified

Leriche's Syndrome Presenting with Acute Paraplegia: Case Report

Turan¹,

Ekinci²,

Kara³

et al. 2015

Turkiye Klinikleri J Case Rep

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“…İliyak arterlerin ya da aortanın şiddetli aterosklerotik hastalığı infrarenal abdominal aortanın stenozu ya da oklüzyonuna neden olabilir. Leriche sendromu; bilateral kladikasyo, femoral nabazanların alınamaması, alt ekstremitelerde soğukluk-soğukluk, impotans gibi bulgular ile ortaya çıkabilir (6). Bilgimiz dahilinde literatürde KBY ile Leriche sendromu birlikteliği tanımlanmamış olup bu açıdan olgumuz literatürdeki ilk olgudur.…”

Section: Discussionunclassified

Acute Abdominal Pain and Paraplegia in a Patient with Chronic Renal Disease: Leriche's Syndrome

Bayir¹,

Arziman²,

Kaldirim³

et al. 2013

JAEMCR

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Leriche's syndrome represents an arterial occlusion of the aortic bifurcation with ischaemic symptoms of both legs. A case of Leriche's syndrome as a complication of end stage renal failure has not yet been reported in the litarature. A 50-year-old woman was taken into the emergency service with severe abdominal and leg pain, loss of movement of both legs, and dyspnoea. On physical examination, there was abdominal tenderness, coldness and pallor of both legs, and pulselessness of the upper and lower extremities. No flow was seen in either femoral artery with superficial ultrasonography probe in the emergency department. Dynamic thorax and abdominal computed tomography was planned and total occlusion of the infrarenal level of the abdominal aorta was detected. Within the first hour of the diagnosis of acute thrombosis of the aorta bifurcation, bilateral femoral embolectomy was performed by the Cardiavascular Surgery Clinic. After 1 week, the paitent was discharged without any complication. Chronic renal disease patients, especially those referred to the emergency department with acute complaints, must be evaluated carefully and quickly, primarily for cardiovascular diseases. Principally, infrarenal aortic occlusion must be considered and femoral pulses must be examined in the differential diagnosis for patients presenting with paraplegia and severe pain.

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Leriche syndrome

Cited by 26 publications

References 0 publications

Caso clínico de interés: síndrome de Leriche

Caso clínico de interés: síndrome de Leriche

Leriche's Syndrome Presenting with Acute Paraplegia: Case Report

Acute Abdominal Pain and Paraplegia in a Patient with Chronic Renal Disease: Leriche's Syndrome

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