iarjmcrIARJMCRIARJMCR2709-3220https://doi.org/10.47310/iarjmcr.2023.v04i02.005Peripheral Arterial Disease involving bilateral common Iliac arteries – A rare case reportRichaBhatnagarSunilKumarArchitaGuptaVipulParmarAnkitaChauhanPeripheral artery disease (PAD) is a commonly prevalent but underdiagnosed manifestation of atherosclerosis. There is insufficient awareness of its clinical manifestations, including critical limb ischemia and intermittent claudication. It also leads to risk of adverse cardiovascular and limb outcomes. Peripheral artery disease has a huge economic and social burden and is an important contributor to the global health burden. This case report demonstrates a case of peripheral vascular disease in a 57 years old male with history of being a chronic smoker. Patient presented with complaints of fatigue and heaviness in his lower thighs and calves during walking. A CT Angiogram was conducted which showed significant stenosis of both left and right common iliac arteries, as well as stenosis of the distal aorta. Peripheral arterial disease presentation depends on various genetic and environmental factors and it can lead to great reduction in the quality of living.