PDF(Pubmed)
Abstract：
Aortoiliac occlusive disease (AIOD), also known as Leriche syndrome, is a form of peripheral artery disease (PAD) that involves narrowing, and in severe cases, complete occlusion, of infrarenal abdominal aorta and/or iliac and femoropopliteal arteries. It classically presents as a triad of symptoms, i.e., leg pain, erectile dysfunction, and abnormally weak or absent femoral pulses. If untreated, it can progress to ischemia and gangrene of the affected regions of pelvis and lower extremities. Like any other PAD, AIOD is most commonly caused by atherosclerosis and usually occurs in strong association with severe cardiovascular diseases. Due to the rarity of this disease, its incidence and prevalence are still unknown making it harder to diagnose especially in patients without the classic risk factors and typical presentation. We report a case of AIOD in a 65-year-old woman who presented with atypical symptoms. She was diagnosed with AIOD type I upon further investigation, which was managed successfully.
摘要：
主动脉闭塞性疾病(AIOD),也被称为Leriche综合征，是一种涉及狭窄的外周动脉疾病（PAD），在严重的情况下，完全闭塞,肾下腹主动脉和/或髂动脉和股动脉。它通常表现为三位一体的症状，即，腿部疼痛,勃起功能障碍,股脉搏异常微弱或缺失。如果未经治疗,它可以进展为骨盆和下肢受累区域的缺血和坏疽。像任何其他PAD一样，AIOD最常见于动脉粥样硬化，通常与严重的心血管疾病密切相关。由于这种疾病的罕见，它的发病率和患病率仍然未知，使其难以诊断，特别是在没有经典危险因素和典型表现的患者中。我们报告了一例出现非典型症状的65岁女性AIOD病例。经过进一步调查，她被诊断为AIODI型，管理成功。
