Concluded Case

Blunt traumatic injury

Patient age 50 suffered a blunt traumatic injury, x ray reveals no fractures, CT and MRI reports attached, patient complaining of abdominal pain and CT abdomen reveals opacification of ext. Iliac artery. Patient otherwise stable and MRI reveals disc buldges and was having history of upper and lower back pain before accident Chief Complaints Left leg numbness, Stomach pain, Cramps while walking.

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Concluded answer

mr angio revealed left external iliac Artery occulsion. but good compensation from collatorals. iliofemoral bypass grafting advised. PT management of neurological symptoms once inflammation and swelling subsides.

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Left leg numbness may be due to lumbar disc with radiculopathy.Opacification of external iliac artery which side?. External iliac artery is the main supply to leg.Branches are femoral,inferior epigastric and circum flex.If the left Ext Ext iliac is specified, you have to investigate for that with MR angio. Small syrinx at cervical and upper dorsal noted in the MRI- not clinically significant.

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mr angio revealed left external iliac Artery occulsion. but good compensation from collatorals. iliofemoral bypass grafting advised. PT management of neurological symptoms once inflammation and swelling subsides.

Lumbar disc bulge with radiculopathy producing symptoms Need usg abdomen Check electrolytes

Usg abdomen normal no solid organ injury, electrolytes normal too, CT shows left side external iliac artery opacification
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Seems contusion in psoas and glutei muscle ..still take ortho and general surgeon opinion too

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Diseases Related to Discussion

Radiculopathy
Inflammation

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