Browsing by Author "Andrade Cifuentes, Ana Valentina"
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Item Síndrome de Leriche. Complicaciones de una enfermedad arterial periférica subdiagnosticada: reporte de caso(Universidad Santiago de Cali, 2023) Altamirano Jiménez, Vivian Nicole; Andrade Cifuentes, Ana Valentina; Sánchez Correa, Mauren Julieth; Sánchez Ospina, Sara Daniela; Rodríguez Bayona, Fernando (Director)Leriche syndrome is an aorto-iliac occlusive disease characterized by complete occlusion of arterial flow at the level of the abdominal aorta and/or its bifurcation. It is a generally underdiagnosed pathology, whose diagnosis is mainly based on a complete approach in terms of clinical history and complete physical examination, the main diagnostic instrument currently considered as gold standard is the angiotomography. Then is described the case of a 48 year old female patient with this diagnosis who concomitantly presented numerous risk factors whose clinical picture began with pain in the lower limbs associated with paresthesias and stump of the phalanx of the fifth finger of the left foot, in addition to intermittent claudication and absence of pulses in the lower extremities, was evaluated in integral way by numerous specialties who, although the clinical presentation of the patient was clear, were delayed establishing the diagnosis due to the absence of knowledge of the pathology. The high compromise of the patient required amputation of the fifth finger of her left foot. Our main interest is to raise awareness of this pathology that can be recognized more easily from the first contact with the patient we make a correct approach, including a complete physical examination and the correct use of diagnostic images that may be required and that allow us a definitive diagnosis and thus a timely intervention, in turn to prevent future complications.