The Association of Sudden Onset of Symptomatic Hemorrhoid Disease,Impotence,and Aortic Thrombosis in a 43 Year Old Man Following Minor Trauma

Abstract

The sudden onset of symptomatic hemorrhoid disease in a 43 year old man heralded infrarenal aortic thrombosis after a minor fall. He developed a classic Leriche Syndrome and required aortic thrombectomy and aorto-bifemoral grafting. The unusual presentation is explained by the collateral circulation and arteriograms demonstrating this point are presented. It was felt that the pres ence of pre-existing sub-occlusive iliac disease predisposed this patient to aortic thrombosis and a successful outcome followed surgical treatment.