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Updated: Aug 4, 2026
06:02
Posterior Approach for Debridement of the Psoas Abscess
Published on: March 2, 2020
Ruptured abdominal aortic aneurysm associated with a psoas abscess
A Inufusa1, Y Mikawa, I Morita
1Department of Orthopedic Surgery, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama 701-0192 Japan. inu@med.kawasaki-m.ac.jp
Archives of Orthopaedic and Trauma Surgery
|June 19, 2002
Summary
A rare case of abdominal aortic aneurysm infected by Salmonella dublin is detailed. This infection led to a rupture and psoas abscess, requiring surgical intervention.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Radiology
Background:
- Infectious abdominal aortic aneurysms (IAAA) are uncommon but serious vascular emergencies.
- Salmonella species are a known, though infrequent, cause of IAAs.
- Prompt diagnosis and multidisciplinary management are crucial for favorable outcomes.
Observation:
- A patient presented with computed tomography (CT) findings of an abdominal aortic rupture.
- The rupture was associated with a concurrent psoas abscess, indicating a complex infection.
- The causative agent identified was Salmonella dublin.
Findings:
- Surgical intervention included an axillo-femoral bypass to restore blood flow.
- Resection of both the infected abdominal aortic aneurysm and the psoas abscess was performed.
- Successful management of this complex IAAs case was achieved.
Implications:
- This case highlights the importance of considering Salmonella in IAAs, even with atypical presentations.
- Effective treatment requires a combination of broad-spectrum antibiotics and surgical debridement/reconstruction.
- Early recognition and intervention can prevent catastrophic rupture and improve patient survival in IAAs.
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