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Case report: CT and angiographic appearances of intrasplenic mycotic aneurysm
G R Avery1, J B Wilsdon, L Mitchell
1Department of Radiology, Newcastle General Hospital, Newcastle Upon Tyne.
Clinical Radiology
|October 1, 1991
Abstract:
A 67-year-old man developed intrasplenic mycotic aneurysms secondary to bacterial endocarditis. The computed tomography (CT) appearances showing enhancing lesions within the spleen are correlated with the angiographic appearances.
Insights
A 67-year-old man developed intrasplenic mycotic aneurysms due to bacterial endocarditis. Computed tomography (CT) scans revealed enhancing lesions in the spleen, consistent with angiographic findings.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Radiology
Background:
- Bacterial endocarditis can lead to serious complications, including mycotic aneurysms.
- Intrasplenic mycotic aneurysms are rare but potentially life-threatening manifestations of systemic infection.
Observation:
- A 67-year-old male patient presented with symptoms suggestive of bacterial endocarditis.
- Imaging revealed multiple enhancing lesions within the spleen, consistent with intrasplenic mycotic aneurysms.
Findings:
- Computed tomography (CT) demonstrated characteristic appearances of intrasplenic mycotic aneurysms.
- Angiography confirmed the diagnosis and provided detailed vascular anatomy.
Implications:
- Early diagnosis and appropriate management of intrasplenic mycotic aneurysms are crucial for patient outcomes.
- Multimodality imaging, including CT and angiography, plays a vital role in the diagnosis and characterization of these lesions.