Key result
Acute aortoiliac occlusive disease can present atypically as cauda equina syndrome and Fournier's gangrene, highlighting the need for peripheral pulse examination to avoid misdiagnosis.
Why the study?
Acute aortoiliac occlusive disease is infrequently encountered in clinical practice and can present as a diagnostic challenge.
Case Report (n=1)
Careful examination of peripheral pulses is crucial in patients presenting with cauda equina syndrome or Fournier's gangrene to rule out acute aortoiliac occlusive disease.
Aortoiliac occlusive disease presents itself more frequently as chronic claudication, erectile dysfunction, and absent femoral pulses. Its acute manifestation is less frequently encountered in a clinical practice; hence, it presents sometimes as a diagnostic challenge. We illustrate a case of acute aortoiliac occlusive disease presenting with spinal cord ischemia and gluteal and scrotal necroses, which was initially diagnosed and treated as spinal cord compression. In order to avoid misdiagnosis, careful examination of peripheral pulses of both lower limbs should always be part of the initial evaluation of cauda syndrome and paraplegia and when Fournier's gangrene is suspected.
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Paone et al. (2019) conducted a case report in Acute aortoiliac occlusive disease (n=1). Acute aortoiliac occlusive disease was evaluated. Acute aortoiliac occlusive disease can present atypically as cauda equina syndrome and Fournier's gangrene, highlighting the need for peripheral pulse examination to avoid misdiagnosis.
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