| Mycotic abdominal aortic pseudoaneurysm caused by a penetrating atherosclerotic ulcer: report of a case. | |
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MedLine Citation:
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PMID: 12928849 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a case of mycotic abdominal aortic pseudoaneurysm caused by a penetrating atherosclerotic ulcer (PAU). An 81-year-old woman was admitted to a local hospital with fever and abdominal pain, and when her symptoms were not improved by antibiotics, she was referred to our department. Computed tomography (CT) and angiography showed a saccular aneurysm below the renal arteries, and an emergency laparotomy was performed because we suspected a mycotic abdominal aortic pseudoaneurysm. An abscess was found on the proximal side of the jejunum, caused by an aneurysm penetrating the serosa. We diagnosed a mycotic pseudoaneurysm after finding the anterior wall of the aorta penetrated by intense calcification. The pseudoaneurysm was resected with the abscess and the area was covered with a pedicled omental flap to prevent infection. An axillofemoral bypass was also done. The patient recovered well. |
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Authors:
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Munehiro Saiki; Kengo Nishimura; Masahiko Ikebuchi; Tohru Hiroe; Maromi Tachibana; Yasushi Kanaoka; Shigetsugu Ohgi |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Surgery today Volume: 33 ISSN: 0941-1291 ISO Abbreviation: Surg. Today Publication Date: 2003 |
Date Detail:
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Created Date: 2003-08-20 Completed Date: 2004-01-20 Revised Date: 2006-08-03 |
Medline Journal Info:
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Nlm Unique ID: 9204360 Medline TA: Surg Today Country: Japan |
Other Details:
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Languages: eng Pagination: 698-701 Citation Subset: IM |
Affiliation:
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Second Department of Surgery, Tottori University Faculty of Medicine, 36-1 Nishi-cho, Yonago 683-8504, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Abscess
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complications* Aged Aged, 80 and over Aneurysm, False / etiology*, microbiology* Aneurysm, Infected / etiology*, pathology Angiography Aorta, Abdominal / pathology* Arteriosclerosis / complications* Female Humans Jejunal Diseases / complications* Tomography, X-Ray Computed Ulcer / complications* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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