Endograft infection presenting as a ruptured aortic aneurysm

Aortic endograft procedures have become commonplace. Fortunately, infection of endografts remains rare, with an incidence <0.5%. Infection results from contamination at the time of implantation, by seeding the graft from a remote infection, or contiguous infection. We describe a case of late infection after endovascular aortic repair resulting in rupture of the aneurysm sac, followed by a brief review of endograft infections. In a review of the endograft literature, only one other article describes rupture of an aneurysm after endograft due to infection. This case highlights the importance of a thorough endograft evaluation in any patient with abdominal complaints.