| Repetitive contained rupture of an infected abdominal aortic aneurysm with concomitant vertebral erosion. | |
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MedLine Citation:
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PMID: 20471795 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We describe a rare case of surgical treatment for a repeated contained rupture of an infected abdominal aortic aneurysm (AAA) with concomitant vertebral erosion. A 59-year-old man presented to a nearby hospital with abdominal pain and fever. On admission, computed tomography (CT) scan revealed a contained rupture of AAA, but the patient declined the offer of surgical therapy. Thereafter, the retroperitoneal hematoma gradually reduced in size. The third and fourth lumbar vertebrae were eroded on the CT scan 12 months after the appearance of the first symptom. However, 21 months after the first symptom, he suffered severe lumbago and was diagnosed with recurrence of contained AAA rupture and vertebral body destruction. He underwent debridement of eroded vertebrae and in situ graft replacement of AAA with omentum flap wrapping. Intraoperative microscopic examination of the hematoma revealed gram-positive Streptococcus. His postoperative course was uneventful, and CT 12 months after surgery did not reveal further deterioration of vertebral erosion or fluid accumulation. Repetitive contained AAA rupture may be another entity in contrast to chronic contained AAA rupture. Vertebral erosion could be associated with infection rather than mass effects of the contained hematoma. Surgical treatment is indicated to prevent life-threatening re-rupture and severe spinal instability. |
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Authors:
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Hiroshi Yamamoto; Fumio Yamamoto; Hiroshi Izumoto; Fuminobu Tanaka; Kazuyuki Ishibashi |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-05-14 |
Journal Detail:
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Title: Annals of vascular surgery Volume: 24 ISSN: 1615-5947 ISO Abbreviation: Ann Vasc Surg Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-19 Completed Date: 2010-10-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8703941 Medline TA: Ann Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 824.e1-5 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Cardiovascular Surgery, Akita University School of Medicine, Hondo 1-1-1, Akita, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aneurysm, Infected
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microbiology*,
radiography,
surgery Anti-Bacterial Agents / therapeutic use Aortic Aneurysm, Abdominal / microbiology*, radiography, surgery Aortic Rupture / microbiology*, radiography, surgery Aortography / methods Blood Vessel Prosthesis Implantation Debridement Hematoma / microbiology, radiography, surgery Humans Low Back Pain / microbiology Lumbar Vertebrae / microbiology*, radiography, surgery Magnetic Resonance Imaging Male Middle Aged Omentum / surgery Orthopedic Procedures Spinal Diseases / microbiology*, radiography, surgery Surgical Flaps Time Factors Tomography, X-Ray Computed Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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