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.
Highlights
Leriche syndrome, known as aortoiliac occlusive disease, is characterized by chronic obstruction of the abdominal aorta and iliac arteries(1)
We aimed to report a case of Leriche syndrome and twin pregnancy presenting with severe preeclampsia because there are scant data regarding total aortoiliac occlusion and pregnancy in the literature
The patient was admitted to the intensive care unit due to a history of aortoiliac occlusive disease and severe hypertension
Summary
Known as aortoiliac occlusive disease, is characterized by chronic obstruction of the abdominal aorta and iliac arteries(1). The disease was first described by Robert Graham in 1814(2). Leriche syndrome was named after a French surgeon, Rene Leriche, who first operated on the condition(1). We aimed to report a case of Leriche syndrome and twin pregnancy presenting with severe preeclampsia because there are scant data regarding total aortoiliac occlusion and pregnancy in the literature
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