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Updated: Oct 8, 2025
Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
Case Report: A Pseudoaneurysm Involving the Left Common Iliac Artery Secondary to Brucellosis: A Rare Case Report
Qilong Wang1, Liang Tang2, Yue Qin1
1Department of Vascular Surgery, The First Bethune Hospital of Jilin University, Changchun, China.
Abstract:
Pseudoaneurysms of the common iliac artery caused by Brucellosis are exceedingly uncommon. Infected common iliac artery pseudoaneurysms, particularly those caused by brucellosis, are more difficult to diagnose and cure than general pseudoaneurysms. The risk of mortality is significantly high in this condition. Nonsurgical treatment of a brucellosis-induced common iliac artery pseudoaneurysm is futile, and it should be operated on as soon as feasible. Long-term and multi-course antibacterial therapy with combination antibiotics is required. For the treatment of Brucella-infected pseudoaneurysms, endovascular surgery can be both effective and safe.
Insights
Brucellosis-induced common iliac artery pseudoaneurysms are rare and life-threatening. Prompt surgical intervention combined with long-term antibiotics is crucial for effective treatment and improved patient outcomes.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Medical Microbiology
Background:
- Common iliac artery pseudoaneurysms are rare vascular conditions.
- Brucellosis, a zoonotic bacterial infection, can rarely lead to vascular complications.
- Infected pseudoaneurysms present significant diagnostic and therapeutic challenges.
Observation:
- Pseudoaneurysms of the common iliac artery caused by Brucellosis are exceedingly uncommon.
- These specific pseudoaneurysms are more difficult to diagnose and treat than non-infected counterparts.
- The mortality risk associated with this condition is notably high.
Findings:
- Nonsurgical management of brucellosis-induced common iliac artery pseudoaneurysms is ineffective.
- Surgical intervention should be performed as early as possible.
- Long-term, multi-course antibacterial therapy using combination antibiotics is essential.
- Endovascular surgery offers a safe and effective treatment option for Brucella-infected pseudoaneurysms.
Implications:
- Highlights the critical need for prompt surgical intervention in brucellosis-induced pseudoaneurysms.
- Emphasizes the necessity of comprehensive, long-term antibiotic treatment.
- Suggests endovascular surgery as a viable and safe therapeutic strategy.
- Underscores the high mortality risk and diagnostic challenges associated with this rare condition.
