Hodgson K J, Sumner D S
Department of Surgery, Southern Illinois University, School of Medicine, Springfield 62708.
J Vasc Surg. 1988 Mar;7(3):446-8.
An unusual case is reported of severe buttock claudication in a woman with normal ankle systolic pressures after exercise, for which the cause was eventually found to be isolated bilateral hypogastric arterial stenosis. Although a normal ankle pressure response to exercise usually rules out vascular obstruction in patients with symptoms suggestive of intermittent claudication, the diagnosis of isolated hypogastric arterial disease should be entertained when a neurogenic or orthopedic explanation can be excluded.
报告了一例罕见病例，一名女性在运动后踝部收缩压正常，但出现严重的臀部间歇性跛行，最终发现病因是孤立性双侧腹下动脉狭窄。尽管运动后踝部压力正常通常可排除有间歇性跛行症状患者的血管阻塞，但当可以排除神经源性或骨科原因时，应考虑孤立性腹下动脉疾病的诊断。
