What’s causing this patient’s diminished femoral pulses?

Last Updated on February 27, 2019 by

A 56-year-old man presents with a three-month history of erectile dysfunction and bilateral buttock pain on exertion, but not at rest. His past medical history is significant for type 2 diabetes, dyslipidemia, and hypertension. Examination reveals bilaterally diminished femoral pulses. What is the most likely diagnosis?

A. Diabetic amyotrophy
B. Spinal stenosis
C. Leriche syndrome (aortoiliac occlusive disease)
D. Acute aortic thrombosis

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Find the answer, discuss this case and more on Figure 1.