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Caso clínico de interés: síndrome de Leriche
Full text linkEl 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
Leriche syndrome
No full textLeriche syndrome is a disease that is characterized by a thrombotic occlusion in the aorta, frequently in the renal artery distal. The classical symptoms of this syndrome include pain in the lower extremities emerging during activity (claudication), impalpability of the femoral pulses and impotency in male patients. The definitive diagnosis of claudication, due to insufficient circulation as well as neurogenic-caused claudication, is hard. Medical history, physical examination and monitoring methods are important for definitive diagnosis. Impalpability of bilateral femoral pulses in physical examination may be a sign of leriche syndrome. With colored doppler ultrasonography, it can be demonstrated in cases having Leriche syndrome that there is no circulation in both iliac arteries. In these patients, thrombotic occlusion of the aorta shall be confirmed by computed tomography angiography. This case that we present is a case of Leriche syndrome in which the patient came to the hospital with the complaint of claudication and was diagnosed with lumbar disc herniation. Since vascular pathologies were not considered in definitive diagnosis, the treatment was delayed and it resulted in mortality; for this reason it is important. In the case of patients coming to hospital with complaints of leg pain, the vascular pathologies shall be thought of in the definitive diagnosis and the clinicians, and in that way leading to the diagnosis, shall depend on detailed patient history and comprehensive physical examination
The conferences by Professor Réne Leriche
No full textDocumentoA review of the various conferences given by Professor René Leriche, held at the Faculty of Medicine, University of Porto.Resumo das diversas conferências da autoria do Dr. René Leriche, decorridas na Faculdade de Medicina da Universidade do Porto
Síndrome de Leriche: reporte de caso y revisión de literatura
No full textWe describe the case of a patient with high risk factors for atherosclerotic disease who was admitted due to lower limb pain associated with a glans ulcer and right foot stump, as well as intermitttent claudication, sexual impotence and absence of pulses in the lower limbs, was examinated integrally by multiple specialities confirming the diagnosis or Leriche Syndrome, who due to its high commitment required amputation of the lower rigth limb. Our interest is to highlight the importance of the peripheral vascular physical examination as a method of diagnostic suspicion for the timely intervention of the patient with peripheral vascular disease and thus prevent future complications.Se describe el caso de un paciente con factores de riesgo elevados para enfermedad ateroesclerótica que ingresó por dolor en miembros inferiores asociado a úlcera en glande y muñón de pie derecho, además de claudicación intermitente, impotencia sexual y ausencia de pulsos en miembros inferiores, fue valorado integralmente por múltiples especialidades confirmando el diagnóstico de Síndrome de Leriche, quien por su alto compromiso requirió de amputación del miembro inferior derecho. Nuestro interés es resaltar la importancia del examen físico vascular periférico como método de sospecha diagnóstica para la oportuna intervención del paciente con enfermedad vascular periférica y así prevenir futuras complicaciones
A Rare Cause of Acute Renal Failure: Leriche Syndrome
No full textA Rare Cause of Acute Renal Failure: Leriche SyndromeAkut Böbrek Yetmezliginin Nadir Bir Sebebi: Leriche SendromuSeydahmet Akın 1, Sinan Kazan 1, Bilge Kalkan 2, Mehmet Aliustaoğlu 1 ABSTRACTLeriche Syndrome is characterized with occ-lusive atherom plaques at aortic bifurcation obs-tructing iliac arteries. Renal arteries are involvedin only 10% of patients. Renal artery involvementmay be a rare cause of renal impairment. We reporta Leriche sydrome case presenting with acute renalfailure.Key Words: atherosclerosis, Leriche syndrome, Re-nal insufficiency. </div
Leriche Syndrome
No full textLeriche syndrome is a thrombotic occlusion of abdominal aorta, extending both just above the site of aortic bifurcation and the common iliac arteries. Risk factors are hypertension, smoking, dyslipidemia, and diabetes. The symptoms include erectile dysfunction, bilateral claudication with ischemic pain. Surgical operation is usually recommended for the management.J MEDICINE July 2017; 18 (2) : 128-129</jats:p
Endovascular approach to Leriche syndrome
No full textThe chronic obstruction of the aortic bifurcation and iliac axis was definide by the French surgeon Rene Leriche, whose name it bears today. The advancing age of the population move the definition from a syndrome, as reported from Leriche, to complex aortoiliac vascular lesions current multidisciplinary guidelines recommend to treat extensive aortoiliac occlusive disease by surgical revascularization. Surgery provides good long-term patency, but at the cost of substantial perioperative morbidity. Development of new technologies and techniques has led to increased use of endovascular therapy for extensive aortoiliac disease. This review article summarized current multidisciplinary guidelines indication in endovascular treatment of extensive aorto-iliac disease and the various worldwide single centre experience published on endovascular treatment of Leriche Syndrome
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