title: Acute infrarenal aortic thrombosis presenting with flaccid paraplegia.
abstract: METHODS
  This study is a case report.
  
  
  OBJECTIVE
  To report a case of a patient with paraplegia and low back pain, who was diagnosed with acute infrarenal aortic thrombosis.
  
  
  BACKGROUND
  There have been few reports in the literature regarding acute aortic thrombosis presenting with paraplegia.
  
  
  METHODS
  A 56-year-old man was referred to our emergency department with flaccid paraplegia and low back pain. Clinical examination and imaging revealed acute infrarenal aortic thrombosis, with lower limb ischemia. The patient underwent transcutaneous embolectomy.
  
  
  RESULTS
  Despite successful revascularization, the patient finally died because of development of revascularization syndrome.
  
  
  CONCLUSIONS
  Acute aortic occlusion is a catastrophic event and may present with paraplegia, because of acute spinal cord ischemia. This can mislead the clinician to a wrong diagnosis and delay initiation of definite treatment.
authors.affiliation: 3rd Orthopaedic Department, University of Athens School of Medicine, KAT Athens General Hospital, Greece. yotriad@hotmail.com
authors.forename: Georgios K
authors.initials: GK
authors.lastname: Triantafyllopoulos
authors.forename: Michael
authors.initials: M
authors.lastname: Athanassacopoulos
authors.forename: Chrysostomos
authors.initials: C
authors.lastname: Maltezos
authors.forename: Spyridon G
authors.initials: SG
authors.lastname: Pneumaticos
mesh_terms: D000208:Acute Disease; D001012:Aorta, Abdominal / Q000473:pathology*; D001018:Aortic Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D017128:Embolectomy / Q000379:methods; D017809:Fatal Outcome; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000601:surgery; D007866:Leg / Q000098:blood supply; D017116:Low Back Pain / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000209:etiology*; D013927:Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery