University of Oulu

Paone, R., & Romsi, P. (2019). A Case of Acute Aortoiliac Occlusive Disease Presenting as Cauda Equina Syndrome and Fournier’s Gangrene. Case Reports in Surgery, 2019, 1–3.

A case of acute aortoiliac occlusive disease presenting as cauda equina syndrome and Fournier’s gangrene

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Author: Paone, Rosalba1; Romsi, Pekka1
Organizations: 1Oulu University Hospital, Oulu, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 1.7 MB)
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Language: English
Published: Hindawi, 2019
Publish Date: 2020-03-05


Aortoiliac occlusive disease presents itself more frequently as chronic claudication, erectile dysfunction, and absent femoral pulses. Its acute manifestation is less frequently encountered in a clinical practice; hence, it presents sometimes as a diagnostic challenge. We illustrate a case of acute aortoiliac occlusive disease presenting with spinal cord ischemia and gluteal and scrotal necroses, which was initially diagnosed and treated as spinal cord compression. In order to avoid misdiagnosis, careful examination of peripheral pulses of both lower limbs should always be part of the initial evaluation of cauda syndrome and paraplegia and when Fournier’s gangrene is suspected.

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Series: Case reports in surgery
ISSN: 2090-6900
ISSN-E: 2090-6919
ISSN-L: 2090-6900
Volume: 2019
Article number: 4027460
DOI: 10.1155/2019/4027460
Type of Publication: A1 Journal article – refereed
Field of Science: 3126 Surgery, anesthesiology, intensive care, radiology
Copyright information: Copyright © 2019 Rosalba Paone and Pekka Romsi. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.