title: Postprandial lower limb pain: An unusual presentation of visceral arteries occlusion.
abstract: This case report describes an atypical and unique presentation of mesenteric arteries occlusive disease. The patient presented with typical symptoms of chronic mesenteric ischemia, as well as with an atypical new symptom; postprandial buttock and lower limbs pain. Pain followed the time curve of the postprandial abdominal discomfort, starting 30 min after meals and gradually resolving within 2 h. The patient had been tolerating the signs of chronic mesenteric ischemia quite well by adjusting the quantity of food per meal to relieve symptoms. Angiography showed that the celiac artery, the superior mesenteric artery, and distal aorta were occluded, leaving the inferior mesenteric artery as the only feeding vessel of all abdominal viscera and both the lower limbs. Since an English medical literature search returned only one marginally similar case, we consider this case of iliac arteries' "steal syndrome" from the inferior mesenteric artery unique.
authors: First Department of Surgery, Division of Vascular Surgery, National Kapodistrian University of Athens, Laiko Hospital, Athens, Greece patelisn@gmail.com.
authors: Nikolaos
authors: N
authors: Patelis
authors: First Department of Surgery, Division of Vascular Surgery, National Kapodistrian University of Athens, Laiko Hospital, Athens, Greece.
authors: Konstantinos
authors: K
authors: Papoutsis
authors: First Department of Surgery, Division of Vascular Surgery, National Kapodistrian University of Athens, Laiko Hospital, Athens, Greece.
authors: Dimitrios
authors: D
authors: Liakopoulos
authors: First Department of Surgery, Division of Vascular Surgery, National Kapodistrian University of Athens, Laiko Hospital, Athens, Greece.
authors: Andreas
authors: A
authors: Koutsoumpelis
authors: First Department of Surgery, Division of Vascular Surgery, National Kapodistrian University of Athens, Laiko Hospital, Athens, Greece.
authors: Christos
authors: C
authors: Bakogiannis
authors: First Department of Surgery, Division of Vascular Surgery, National Kapodistrian University of Athens, Laiko Hospital, Athens, Greece.
authors: Sotirios
authors: S
authors: Georgopoulos
mesh_terms: D000368:Aged; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000601:surgery*; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D003251:Constriction, Pathologic / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007866:Leg / Q000098:blood supply; D017537:Mesenteric Artery, Inferior; D017538:Mesenteric Artery, Superior / Q000601:surgery*; D008641:Mesenteric Vascular Occlusion / Q000601:surgery*; D010146:Pain / Q000175:diagnosis / Q000601:surgery*; D011859:Radiography
keywords: Postprandial pain; aortic occlusion; chronic mesenteric ischemia; mesenteric arteries occlusive disease