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Acute Leriche Syndrome in Pancreatic Adenocarcinoma: A Case Report

Author(s):

Eftychia Mosa, Stamo Manouvelou, Maria Tolia*, Nikolaos Tsoukalas, Alexandros Ardavanis, Myrsini Stasinopoulou, George Kyrgias and Aggeliki Tavernaraki   Pages 1 - 3 ( 3 )

Abstract:


Introduction: Coexistance of pancreatic carcinoma and Leriche syndrome is an extremely rare pathological condition. Leriche syndrome is defined as occlusion of the distal aorta at the bifurcation into the common iliac arteries.

Case Report: We report the case of a 57-year old male patient with a locally advanced pancreatic tumor that during chemotherapy presented Leriche syndrome. Four months after the diagnosis and although the initial staging by MRI had only revealed a few atheromatic lesions of the abdominal aorta, the patient complained about claudication of the legs and hypoesthesia. Angiography with multi-detector computed tomography (MDCTA) was performed using aortography protocol and three dimensional reconstruction of the images followed, demonstrating the relationship between pancreatic carcinoma and Leriche syndrome.

Conclusion: Review of the literature revealed that acute abdominal thrombosis is rare in cancer patients. To our knowledge, complete occlusion of the aorta in a patient with pancreatic cancer has not been reported yet.

Keywords:

Pancreatic cancer, Leriche syndrome, chemotherapy, MDCTA

Affiliation:

Radiology Department, St. Savvas Anticancer Hospital of Athens, 171 Alexandras Ave, 115 22, Athens, Radiology Department, St. Savvas Anticancer Hospital of Athens, 171 Alexandras Ave, 115 22, Athens, University of Thessaly, School of Health Sciences, Faculty of Medicine, Department of Radiotherapy, Biopolis, Larisa 411 10, Department of Oncology, Veterans Hospital (NIMTS), 10-12 Monis Petraki Str, 115 21, Athens, Second Department of Medical Oncology, St. Savvas Anticancer Hospital of Athens, 171 Alexandras Ave., 115 22, Athens, Radiology Department, St. Savvas Anticancer Hospital of Athens, 171 Alexandras Ave, 115 22, Athens, University of Thessaly, School of Health Sciences, Faculty of Medicine, Department of Radiotherapy, Biopolis, Larisa 411 10, Radiology Department, St. Savvas Anticancer Hospital of Athens, 171 Alexandras Ave, 115 22, Athens



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