PMC9529653_01
CT angiogram: Irregular mural thrombus seen in distal abdominal aorta resulting in moderate luminal narrowing (Black arrow).
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A lower extremity venous duplex was performed, which did not reveal any underlying deep vein thrombosis but showed complete arterial occlusion in the left common femoral artery extending into the left profunda femoral artery and the left proximal femoral artery, a subsequent CT angiography of the abdominal aorta with lower extremity showed pedunculated proximal and distal abdominal aorta mural thrombi (Fig. 1), proximal common iliac artery thrombosis (Fig. 2), distal left iliac artery thrombosis with presence of mural thrombi, left common femoral artery thrombosis along with left popliteal artery thrombosis.