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Case Report
 
Acute presentation of Leriche syndrome in United Arab Emirates: A case report
Omar Sherif Askar1, Abdel H Noureldin2, Satish Chandrasekhar Nair3
1ER Resident, Academic Affairs Department, Tawam Hospital, Al Ain, Emirates of Abu Dhabi, United Arab Emirates.
2Consultant Physician, ER-Trauma Center-MEERTC (Dep), Tawam Hospital, Al Ain, Emirates of Abu Dhabi, United Arab Emirates.
3Senior Specialist, Head of Clinical Research, Academic Affairs Department, Tawam Hospital, Al Ain, Emirates of Abu Dhabi, United Arab Emirates.

Article ID: 100004CRINTOA2014
doi:10.5348/crint-2014-4-CR-2

Address correspondence to:
Omar Sherif Riad Askar
MD, Al Ain, Emirates of Abu Dhabi
United Arab Emirates. Postal Code: 222146
Phone: +971-50-2198600
Fax: +97137677634
Email: omaraskar0671@gmail.com

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How to cite this article:
Askar OS, Noureldin AH, Nair SC. Acute presentation of Leriche syndrome in the United Arab Emirates: A case report. Case Reports International 2014;3:6–9.


Abstract
Introduction: Aortoiliac occlusive disease or Leriche syndrome is a serious condition in which patients usually present with the triad of chronic symptoms consisting of claudication of the buttocks and thighs, absent or decreased femoral pulses, and impotence. Our report, first from the gulf region, describes an acute severe presentation of Leriche syndrome which resulted in mortality. This case report helps emergency room physicians in the diagnosis and management of acute presentation of aortoiliac occlusive disease, especially in international settings.
Case Report: A 32-year-old male presented to our emergency department as a referral from another hospital. He complained of severe back pain and bilateral leg weakness. The patient had two cardiac arrests, first one was in the operating room and died after the second arrest two days later in ICU.
Conclusion: It is critical that the examining physician place aortoiliac occlusive disease high on the differential during patient assessment, given that the rapidity of diagnosis and further management has significant impact on morbidity and mortality.

Keywords: Leriche syndrome, Aortoiliac occlusion, Severe back pain


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Author Contributions
Omar Sherif Askar – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Abdel H Noureldin – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Satish Chandrasekhar Nair – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Omar Sherif Askar et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.

About The Authors

Omar Askar is a Resident at Department of Emergency Medicine Tawam hospital-Johns Hopkins Medicine International in Al Ain, UAE. His research interests include Pain control and Trauma management in the ED. He intends to pursue a fellowship in critical care after completing his residency.



Abdel H Noureldin is Program director and Senior Consultant at Department of Emergency Medicine Tawam hospital-Johns Hopkins Medicine International in Al Ain, UAE. He is also adjunct Clinical Assistant Professor at the school of medicine, UAE University, UAE. He earned the undergraduate degree Bachelor of science from Loyola University, Chicago, Illinois, USA and postgraduate degree MD from Loyola stritch school of medicine, Maywood, Illinois, USA. Fellow, American College of Emergency Physicians Board Certified Emergency Room Physician. His research interests include Airway management and quality improvement.



Satish C Nair is Senior Specialist and Head Clinical Research at the academic affairs Department of Tawam hospital-Johns Hopkins Medicine International in Al Ain, UAE. He earned Med. Bch. From TN Medical College, PhD from MBA from the University of Nebraska, USA. He also is a clinical associate professor at the school of medicine, UAE University, UAE. He has published 53 research papers in national and international academic journals and authored 2 book chapters. His research interests include molecular understanding of diseases, clinical trials and medical ethics.