Acute paraplegia as a presentation of acute aortic occlusion

Acute paraplegia as a presentation of acute aortic occlusion

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Acute aortic occlusion is a rare life-threatening event.We present a case of a heavy smoking, 54-year-old man who navy blue maang tikka was admitted in the emergency room with sudden paraplegia, associated to severe lower back and lower limbs pain.A neurologic examination showed paralysis of the lower limbs and cold lower extremities.The pedal and femoral pulses were absent.

A computed tomography revealed occlusion of the mesenteric superior artery, abdominal essie day drift away aorta, and both iliac arteries.Despite medical treatment, the patient died before evaluation of vascular surgery.Paraplegia is a rare presentation of acute aortic occlusion and clinicians should be alert to make an early intervention.