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Case Reports
. 2020 Mar;17(1):63-64.
doi: 10.4274/tjod.galenos.2019.58219. Epub 2020 Apr 6.

Leriche's syndrome and twin pregnancy

Cemal Tamer Erel  1 , Hakan Erenel  1 , Ayşegül Mut  1 , Kılıç Aydınlı  2
Affiliations
Case Reports

Leriche's syndrome and twin pregnancy

Cemal Tamer Erel et al. Turk J Obstet Gynecol. 2020 Mar.

Abstract

Leriche's syndrome is characterized by chronic obstruction of the abdominal aorta and iliac arteries. A patient with Leriche's syndrome presented with twin pregnancy and severe preeclampsia at 32 weeks' gestation. Cesarean delivery was performed and the patient was admitted to the intensive care unit. Magnetic resonance angiography showed total occlusion of the distal abdominal aorta, common, and external iliac arteries. There were extensive collateral vessels between the lumbar arteries and iliolumbar arteries. The patient was discharged in an improved clinical condition. Leriche's syndrome and pregnancy demonstrating complete aortic, common, and external iliac artery occlusion is very rare in the literature. Despite complete occlusion, viability of the fetus can be achieved with collateral vessels.

Keywords: Aortoiliac occlusion; Leriche’s syndrome; pregnancy.

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Conflict of interest statement

Conflict of Interest: We declare that we have no conflict of interest.

Figures

Figure 1
Figure 1
Magnetic resonance angiography showed total occlusion of distal abdominal aorta. Common iliac and external iliac vessels were bilaterally occluded. Extensive collateral vessels were seen between the lumbar arteries and iliolumbar arteries
See this image and copyright information in PMC

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