RT Journal
A1 NAIDE M, ETZL MM
T1 AOrtoiliac occlusion (leriche syndrome) resulting from past trauma
JF A.M.A. Archives of Internal Medicine
JO A.M.A. Archives of Internal Medicine
YR 1959
FD August 1
VO 104
IS 2
SP 295
OP 299
DO 10.1001/archinte.1959.00270080121016
UL http://dx.doi.org/10.1001/archinte.1959.00270080121016
AB The syndrome of chronic occlusion of the aorta and iliac arteries, as described by Leriche in 1940, has been attributed to atherosclerosis by practically all who have written on this condition.1-3 However, the histories of the patients to be described lead one to believe that the atherosclerosis and thrombosis in some patients may be secondary to past trauma to the abdominal aorta rather than the primary cause of the syndrome. A patient who drew our attention to the fact that the abdominal aorta is susceptible to injury was a 36-year-old man, seen in 1954, who was struck in the abdomen by a wooden beam moving at high speed. At operation the abdominal aorta was found to be thrombosed. This is an extreme example of trauma resulting in acute thrombosis of the abdominal aorta. It occurred to us that trauma of less degree may subsequently result in occlusion of the