Key result
A 64-year-old man presents with sudden severe low back pain and acute bilateral lower limb ischemia.
Case Report (n=1)
Case report of a 64-year-old man presenting with acute bilateral lower limb ischemia and severe low back pain.
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Clinicians should consider aortic dissection in sudden back pain with bilateral ischemia despite absent chest pain; Level 5 evidence leaves open atypical presentation frequency.
A 64-year-old man with good past health sought treatment with sudden onset of severe low back pain with bilateral lower limb numbness and weakness without any preceding trauma. He reported no chest pain or shortness of breath. His hemodynamic condition was stable with sinus rhythm. Clinical examination revealed acute bilateral lower limb ischemia with absent bilateral femoral pulses down to the dorsalis pedis. No signs of chronic peripheral vascular disease were evident. An abdominal examination showed unremarkable findings without any pulsatile mass.
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Ng et al. (2025) conducted a case report in Acute bilateral lower limb ischemia (n=1). A 64-year-old man presented with sudden severe low back pain and acute bilateral lower limb ischemia without preceding trauma.
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