Sacral Pressure Ulcer in Leriche Syndrome: A Case Report

Abstract

Summary: We experienced a case of a sacral pressure ulcer complicated with Leriche syndrome, an aortoiliac artery occlusion that has not been previously reported. In this case, the abdominal aorta below the bifurcation of the renal arteries into the bilateral common iliac arteries was occluded, and wound healing was delayed. Therefore, endovascular treatment was used for managing this condition, and wound healing was accelerated. Then, reconstructive surgery with a local flap was performed, and wound healing was achieved. In the case of delayed healing of buttock pressure ulcers, it is important to evaluate the blood flow in the iliac artery as well as the infection and nutritional status of the wound. In addition, after endovascular treatment, blood flow in the local flap is a matter of concern. If the wound healing is good, and imaging confirms that there is no restenosis at the endovascular treatment site and the perforator of the flap, reconstructive surgery can be performed safely.

Cutaneous Ulcerations as the Presenting Sign of Acute Aortic Occlusion

“…2 The association of AAO with cutaneous ulcerations, involving the buttocks and genitals are extremely rare, with only four cases previously reported to our knowledge. [3][4][5][6] Cutaneous presentation varies and includes herpetiform ulcerations, Fournier's gangrene, or pressure ulcers. Pyoderma gangrenosum-like ulcerations localized to the abdomen as the initial cutaneous manifestation of AAO has also been reported.…”