Sacral Pressure Ulcer in Leriche Syndrome: A Case Report

Summary:. We experienced a case of a sacral pressure ulcer complicated with Leriche syndrome, an aortoiliac artery occlusion that has not been previously reported. In this case, the abdominal aorta below the bifurcation of the renal arteries into the bilateral common iliac arteries was occluded, and...

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Autores principales:	Shoichi Ishikawa, MD, Satomi Takaoka, MD, Kiyohito Arai, MD, PhD, Shigeru Ichioka, MD, PhD
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/f7c2c53fe99240049ac519e6be4371c2
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spelling	oai:doaj.org-article:f7c2c53fe99240049ac519e6be4371c22021-11-25T07:58:05ZSacral Pressure Ulcer in Leriche Syndrome: A Case Report2169-757410.1097/GOX.0000000000003971https://doaj.org/article/f7c2c53fe99240049ac519e6be4371c22021-11-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003971https://doaj.org/toc/2169-7574Summary:. We experienced a case of a sacral pressure ulcer complicated with Leriche syndrome, an aortoiliac artery occlusion that has not been previously reported. In this case, the abdominal aorta below the bifurcation of the renal arteries into the bilateral common iliac arteries was occluded, and wound healing was delayed. Therefore, endovascular treatment was used for managing this condition, and wound healing was accelerated. Then, reconstructive surgery with a local flap was performed, and wound healing was achieved. In the case of delayed healing of buttock pressure ulcers, it is important to evaluate the blood flow in the iliac artery as well as the infection and nutritional status of the wound. In addition, after endovascular treatment, blood flow in the local flap is a matter of concern. If the wound healing is good, and imaging confirms that there is no restenosis at the endovascular treatment site and the perforator of the flap, reconstructive surgery can be performed safely.Shoichi Ishikawa, MDSatomi Takaoka, MDKiyohito Arai, MD, PhDShigeru Ichioka, MD, PhDWolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 11, p e3971 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Shoichi Ishikawa, MD Satomi Takaoka, MD Kiyohito Arai, MD, PhD Shigeru Ichioka, MD, PhD Sacral Pressure Ulcer in Leriche Syndrome: A Case Report
description	Summary:. We experienced a case of a sacral pressure ulcer complicated with Leriche syndrome, an aortoiliac artery occlusion that has not been previously reported. In this case, the abdominal aorta below the bifurcation of the renal arteries into the bilateral common iliac arteries was occluded, and wound healing was delayed. Therefore, endovascular treatment was used for managing this condition, and wound healing was accelerated. Then, reconstructive surgery with a local flap was performed, and wound healing was achieved. In the case of delayed healing of buttock pressure ulcers, it is important to evaluate the blood flow in the iliac artery as well as the infection and nutritional status of the wound. In addition, after endovascular treatment, blood flow in the local flap is a matter of concern. If the wound healing is good, and imaging confirms that there is no restenosis at the endovascular treatment site and the perforator of the flap, reconstructive surgery can be performed safely.
format	article
author	Shoichi Ishikawa, MD Satomi Takaoka, MD Kiyohito Arai, MD, PhD Shigeru Ichioka, MD, PhD
author_facet	Shoichi Ishikawa, MD Satomi Takaoka, MD Kiyohito Arai, MD, PhD Shigeru Ichioka, MD, PhD
author_sort	Shoichi Ishikawa, MD
title	Sacral Pressure Ulcer in Leriche Syndrome: A Case Report
title_short	Sacral Pressure Ulcer in Leriche Syndrome: A Case Report
title_full	Sacral Pressure Ulcer in Leriche Syndrome: A Case Report
title_fullStr	Sacral Pressure Ulcer in Leriche Syndrome: A Case Report
title_full_unstemmed	Sacral Pressure Ulcer in Leriche Syndrome: A Case Report
title_sort	sacral pressure ulcer in leriche syndrome: a case report
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/f7c2c53fe99240049ac519e6be4371c2
work_keys_str_mv	AT shoichiishikawamd sacralpressureulcerinlerichesyndromeacasereport AT satomitakaokamd sacralpressureulcerinlerichesyndromeacasereport AT kiyohitoaraimdphd sacralpressureulcerinlerichesyndromeacasereport AT shigeruichiokamdphd sacralpressureulcerinlerichesyndromeacasereport
_version_	1718413595052605440

Sacral Pressure Ulcer in Leriche Syndrome: A Case Report

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