A Rare Cause Of Unilateral Leg Pain In A Competitive Triathlete

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A Rare Cause Of Unilateral Leg Pain In A Competitive Triathlete - Page #3

Lab Studies: None Other Studies: Magnetic resonance angiography (MRA): Left external iliac artery endofibrosis with 3 mm narrowing. All other vasculature was patent and normal. Case Photo #1 Computed tomography angiography (CTA) abdomen/pelvis: Normal arterial vasculature with no narrowing. Case Photo #2 Resting and post-exercise ankle-brachial index (ABI): Resting: R 1.11 L 1.05; Post-exercise: R 1.01 L 0.27 (delta of 0.78). Case Photo #3 Arterial duplex ultrasound: Left lower extremity: Normal resting duplex. Post exercise iliac artery duplex shows elevated velocity with abnormal waveforms. Vessel also appears to be narrowed. Consultations: Vascular Surgery Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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