A Case of Superior Mesenteric Artery Occulusion Complicated by Leriche Syndrome

Abstract

We report herein on a salvage case, without performing an operation, of a superior mesenteric artery (SMA) occlusion complicated by Leriche syndrome. An 81–years–old man came to our hospital with sudden abdominal pain. Laboratory data showed acute kidney injury (AKI) due to severe dehydration, and severe inflammation. Plain computed tomography (CT) showed an ileus with non–occlusion. After 72 hours, following recovery from the AKI, contrast CT showed SMA occlusion and infrarenal aortic occlusion with inferior mesenteric artery occlusion, termed the Leriche syndrome. Immediately, we started antithrombotic therapy (Heparin Sodium) and peripheral vasodilation therapy(Prostaglandin E1). Following improvement of the intestinal ischemia, he was discharged with oral nutrition and oral antithrombotic medicine.