A 58-year-old male was admitted to the emergency department (ED) as he was suffering from lower back pain with radiation to the lower legs. Examination found bilateral lower limbs weakness with numbness and weak dorsalis pedis pulse. This is the point which peripheral arterial disease was considered and contrast computed tomography scan of abdomen and pelvis was arranged. This patient was soon to recover from the illness after receiving transfemoral catheterization thrombolysis and stenting. 

 

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