Acute aortic occlusion (AAO) is a rare syndrome associated with substantial morbidity and mortality. To our knowledge, perineal ulcers have rarely been reported in association with AAO secondary to microembolism of the underlying thrombus.
A woman in her 40s presented to the emergency department with a 2-week history of abrupt painful ulcerations of the perineum. Additionally, she complained of bilateral lower extremity weakness. She had a history of untreated hypertension and 7–pack year history of smoking.