A link between pathophysiology and anatomy

What combination of signs and symptoms is common in a male with this radiological image?

1. abdominal pain and nausea

2. claudication of the legs

3. claudication of the buttocks and thighs, absent femoral pulses and impotence

4. kidney failure, hypertension and absent pedial pulses

Leriche,s syndrome  (aortoiliac occlusive disease): claudication of the buttocks and thighs, absent femoral pulses and impotence.