Document Detail

Mycotic abdominal aortic pseudoaneurysm caused by a penetrating atherosclerotic ulcer: report of a case.
MedLine Citation:
PMID:  12928849     Owner:  NLM     Status:  MEDLINE    
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.
Munehiro Saiki; Kengo Nishimura; Masahiko Ikebuchi; Tohru Hiroe; Maromi Tachibana; Yasushi Kanaoka; Shigetsugu Ohgi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  33     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2003  
Date Detail:
Created Date:  2003-08-20     Completed Date:  2004-01-20     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  698-701     Citation Subset:  IM    
Second Department of Surgery, Tottori University Faculty of Medicine, 36-1 Nishi-cho, Yonago 683-8504, Japan.
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MeSH Terms
Abdominal Abscess / complications*
Aged, 80 and over
Aneurysm, False / etiology*,  microbiology*
Aneurysm, Infected / etiology*,  pathology
Aorta, Abdominal / pathology*
Arteriosclerosis / complications*
Jejunal Diseases / complications*
Tomography, X-Ray Computed
Ulcer / complications*

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