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Infected abdominal aortic aneurysm due to Escherichia coli

Miguel Bouzas1, Vincent Tchana-Sato1, Jean Paul Lavigne1

  • 1a Department of Vascular and Thoracic surgery , Regional Hospital of Huy , Belgium.

Acta Chirurgica Belgica
|October 21, 2016
PubMed

Insights

Diagnosing infected abdominal aortic aneurysms (IAAA) is difficult due to vague symptoms. This case highlights Escherichia coli as a cause and the need for prompt CT scans to manage rupture risk.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Diagnostic Imaging

Background:

  • Infected abdominal aortic aneurysm (IAAA) diagnosis remains challenging due to nonspecific clinical presentations.
  • Common pathogens include Salmonella, Staphylococcus, Campylobacter, and Streptococcus species.

Observation:

  • A 67-year-old male presented with high fever, later diagnosed with Escherichia coli (E.coli)-related IAAA.
  • The IAAA ruptured during anesthesia induction, necessitating emergency surgical intervention.

Findings:

  • Successful open aneurysmectomy with debridement and in situ graft replacement was performed.
  • Computed tomography (CT) is crucial for diagnosing IAAA and assessing rupture risk.

Implications:

  • This case underscores the potential for rapid IAAA expansion and high rupture risk.
  • Highlights the importance of timely diagnosis and intervention in managing IAAA.
  • Emphasizes the critical role of CT scans in identifying and managing IAAA effectively.
Keywords:
Aneurysmaortic aneurysmblood vessel prostheseinfected

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