Leriche syndrome with urothelioma
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An elderly male with a clinical diagnosis of Leriche syndrome presented with macroscopic hematuria. The CT scan of the abdomen demonstrates complete occlusion of the infra-renal aorta and iliac arteries resulting in Leriche syndrome. Diffuse urinary bladder wall thickening and fungating mass within the urinary bladder is noted representing the presumed diagnosis of urothelioma.