Abdul Rasheed mh, Ravikrishnan Jayakumar, Shaffeek A
Government Medical College, Trivandrum, India
Date, time and location: 2018.05.26 08:30, Exhibition area, 1st Floor. Zone – B
Abstract
INTRODUCTION
Middle
Aortic Syndrome is a rare vascular disorder due to segmental narrowing of
abdominal aorta. Clinically patient can present with hypertension, mesenteric
ischemia or lower limb claudication. Both congenital and acquired causes are attributed
as the etiology.
CASE REPORT
We
report a case of middle aortic syndrome secondary to atherosclerosis in a
42-year-old male who presented with both lower limb claudication and acute
scrotum. On evaluation he was found to have total segmental occlusion of infra
renal abdominal aorta and bilateral non-infective epididymo orchitis.
After
a comprehensive pre operative work up including echo cardiogram and
optimization of physiological parameters,
he was taken up for elective Aorto- Aortic Bypass graft surgery through
a left thoracotomy and a left supra inguinal incision.
Postoperative
CT angiogram showed good graft functioning and distal flow. He is asymptomatic
at present and is on oral anticoagulation therapy with a follow up period of
three years. Though the association of intra mural distal aortic thrombus and
male impotence is well documented (Leriche syndrome), our case is reported because of the
concomitant presentation of bilateral non infective epididymo orchitis with the
atherosclerotic Middle Aortic Syndrome.
