A 60 year-old man has had increasing pain in both buttocks, thighs and calves on walking for three months. He has also recently developed impotence. Femoral and distal pulses are absent in both limbs. What is the SINGLE most likely site of arterial obstruction?
Answer A) Aorto iliac
Patient is suffering from Leriche’s syndrome.
Classic triad of:
Pain and claudication of buttock and thighs (pale cold leg)
Erectile dysfunction from aorto iliac occlusive disease
Absent femoral and distal pulse.