Aortoiliac occlusive disease

Case contributed by Mohammad Farghali Ali Tosson
Diagnosis almost certain


Lower limb pain.

Patient Data

Age: 55 years
Gender: Female

Patent upper abdominal aorta with patent celiac, superior and inferior mesenteric and both renal arteries.

Total occlusion of the distal abdominal aorta via hypoattenuating thrombus seen extending from a level distal to the origin of the superior mesenteric artery and extending to involve both common iliac arteries impressing of aorto-iliac occlusive disease

Totally occluded left CIA, EIA and internal iliac artery with refilling of the distal external iliac artery.

Patent right external and internal iliac arteries.

An ill-defined focal parenchymal hypoattenuation that involve both the cortex and medulla of the right lower renal pole and extend to the capsular surface with failure of opacification of the interlobular arteries denoting renal infarction.

Case Discussion

Aorto-iliac occlusive disease refers to complete occlusion of the aorta distal to the renal arteries. Secondary renal infarction due to thromboembolism is also noted. 

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