Cutaneous Ulcerations as the Presenting Sign of Acute Aortic Occlusion

Main Article Content

Odera Ekeh
Zoë I. Smith
Justin J. Green

Keywords

Acute aortic occlusion, ulceration

Abstract

This is a report of a case of acute aortic occlusion (AAO) in a 46-year-old woman who presented with confluent and coalescing punched-out ulcerations on the bilateral medial buttocks and abdominal ulcerations. This case highlights how AAO, although rare, should be considered in patients with cardiovascular risk factors presenting with acute lower extremity pain and new-onset cutaneous ulcerations of the perineum and/or abdomen.

References

1. Webb KH, Jacocks MA. Acute aortic occlusion. The American journal of surgery. 1988;155(3):405-407.

2. Sieber S, Stoklasa K, Reutersberg B, Stadlbauer T, Salvermoser M, Lang T, Busch A, Eckstein HH. Acute abdominal aortic occlusion: A 16-year single-center experience. J Vasc Surg. 2021 Dec;74(6):1894-1903.e3. doi: 10.1016/j.jvs.2021.06.021. Epub 2021 Jun 26. PMID: 34182035.

3. Coruh A, Akcali Y, Ozcan N, Ekmekcioglu O. Modified pudendal thigh flap for perineoscrotal reconstruction: a case of Leriche syndrome with rapidly progressing Fournier’s gangrene. Urology. 2004;64(5):1030. e1-1030. e3.

4. Paone R, Romsi P. A Case of Acute Aortoiliac Occlusive Disease Presenting as Cauda Equina Syndrome and Fournier's Gangrene. Case Reports in Surgery. 2019;2019

5. Sacotte R, Patel A, Wanat KA, Young K, Roth G, Wilson B. Cutaneous Herpetiform Ulcerations as the Presenting Sign of an Acute Aortic Occlusion. JAMA dermatology. 2022;158(10):1216-1218.

6. Ishikawa S, Takaoka S, Arai K, Ichioka S. Sacral Pressure Ulcer in Leriche Syndrome: A Case Report. Plast Reconstr Surg Glob Open. 2021 Nov 29;9(11):e3971. doi: 10.1097/GOX.0000000000003971. Erratum in: Plast Reconstr Surg Glob Open. 2021 Dec 20;9(12):e4094. PMID: 34849322; PMCID: PMC8615347.

7. Dourmishev L, Nikolova K, Miteva L. Cutaneous manifestations of aortoiliac occlusive disease: two cases and review of the literature. Folia Med (Plovdiv). 2022 Aug 31;64(4):682-687. doi: 10.3897/folmed.64.e64221. PMID: 36045462.
Sieber S, Stoklasa K, Reutersberg B, Stadlbauer T, Salvermoser M, Lang T, Busch A, Eckstein HH. Acute abdominal aortic occlusion: A 16-year single-center experience. J Vasc Surg. 2021 Dec;74(6):1894-1903.e3. doi: 10.1016/j.jvs.2021.06.021. Epub 2021 Jun 26. PMID: 34182035.

8. Hines GL, Liu HH. Acute Aortic Occlusion and Its Sequelae: Metabolic, Pathologic Etiology, and Management. Cardiol Rev. 2021 Mar-Apr 01;29(2):57-61. doi: 10.1097/CRD.0000000000000313. PMID: 32349067.