<prompt> A patient presents with claudication in both buttocks and has impotence. The clinical examination reveals bruit over lower abdomen. What is the clinical diagnosis?Bilateral iliac aery occusionAooiliac occlusionBilateral iliofemoral occlusionBilateral femoropopliteal occlusion  <response>: . Common site of symptomtaic atherosclerotic occlusive aerial disease of lowerlimb is infrarenal abdominal aoa and iliac aeries.Claudication in buttock,Leriche syndrome with impotence,distal ischemia are the features.Femoral aery pulsations below are absent.systolic bruit over aoa and iliac aeries may be heard suggesting stenosis. Refer page no 177,178 of SRBs manual of surgery 5 th edition. 