An infected enlarging abdominal aortic aneurysm after acute cholecystitis

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Sang Y Hwang1, James M F Clarke2, Tjun Y Tang3

  • 1Department of Vascular Surgery, Prince of Wales Hospital, Randwick, NSW, Australia; Prince of Wales Hospital Clinical School, University of New South Wales, Australia.

International Journal of Surgery Case Reports
|April 8, 2014
PubMed
Abstract

Insights

Infected abdominal aortic aneurysms (AAAs) are rare but serious, often requiring complex surgical repair. This case highlights open debridement and repair for an infected AAA post-cholecystectomy, emphasizing management options.

Area of Science:

  • Vascular Surgery
  • Infectious Disease

Background:

  • Infected abdominal aortic aneurysms (AAAs) are uncommon but associated with significant morbidity and mortality.
  • Prompt diagnosis and effective management are crucial for patient outcomes.

Purpose of the Study:

  • To present a case of infected AAA following laparoscopic cholecystectomy.
  • To discuss surgical management strategies for infected AAAs.

Main Methods:

  • A 69-year-old male patient with a rapidly enlarging AAA post-laparoscopic cholecystectomy.
  • Management involved open debridement, washout, and aneurysm repair.
  • The patient experienced sequelae of Escherichia coli sepsis.

Main Results:

  • The patient underwent open surgical repair for the infected AAA.
  • Despite treatment, the patient suffered ongoing complications from sepsis.

Conclusions:

  • Surgical options for infected AAAs include open, endovascular (EVAR), and combined approaches.
  • While endovascular repair shows promise, it remains an active area of research.
  • Optimal treatment is essential due to high mortality and morbidity associated with infected AAAs.
Keywords:
Abdominal aortic aneurysmCholecystitisInfection

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