@article{3125118,
    title = "Postprandial lower limb pain: An unusual presentation of visceral arteries occlusion",
    author = "Patelis, N. and Papoutsis, K. and Liakopoulos, D. and Koutsoumpelis, A. and Bakogiannis, C. and Georgopoulos, S.",
    journal = "Vascular Specialist International",
    year = "2015",
    volume = "23",
    number = "3",
    pages = "316-318",
    publisher = "SAGE Publications Ltd",
    doi = "10.1177/1708538114545805",
    keywords = "abdominal discomfort;  aged;  angiography;  ankle brachial index;  aorta bifurcation;  artery steal syndrome;  Article;  brain ischemia;  case report;  celiac artery stenosis;  claudication;  death;  female;  human;  iliac artery;  limb pain;  mesenteric ischemia;  postprandial state;  priority journal;  superior mesenteric artery obstruction;  weight reduction;  Arterial Occlusive Diseases;  celiac artery;  Constriction, Pathologic;  inferior mesenteric artery;  leg;  Mesenteric Vascular Occlusion;  pain;  pathology;  radiography;  superior mesenteric artery;  vascularization, Aged;  Arterial Occlusive Diseases;  Celiac Artery;  Constriction, Pathologic;  Female;  Humans;  Leg;  Mesenteric Artery, Inferior;  Mesenteric Artery, Superior;  Mesenteric Vascular Occlusion;  Pain",
    abstract = "This case report describes an atypical and unique presentation of mesenteric arteries occlusive disease. The patient presented with typical symptoms of chronic mesenteric ischemia, as well as with an atypical new symptom; postprandial buttock and lower limbs pain. Pain followed the time curve of the postprandial abdominal discomfort, starting 30 min after meals and gradually resolving within 2 h. The patient had been tolerating the signs of chronic mesenteric ischemia quite well by adjusting the quantity of food per meal to relieve symptoms. Angiography showed that the celiac artery, the superior mesenteric artery, and distal aorta were occluded, leaving the inferior mesenteric artery as the only feeding vessel of all abdominal viscera and both the lower limbs. Since an English medical literature search returned only one marginally similar case, we consider this case of iliac arteries’ “steal syndrome” from the inferior mesenteric artery unique. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav"
}