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Short-term aneurysm formation and rupture due to septic embolism diagnosed with a thrombus retrieved from another

Ryotaro Nukata1, Hiroyuki Ikeda2, Natsuki Akaike2

  • 1Department of Neurology, Kurashiki Central Hospital, Kurashiki, Japan.

Surgical Neurology International
|November 3, 2022
PubMed
Abstract

Insights

Pathological findings of thrombi aided septic embolism diagnosis. Infected aneurysms can rapidly form and rupture after septic embolism, highlighting the need for prompt intervention.

Area of Science:

  • Neurology
  • Pathology
  • Vascular Surgery

Background:

  • Septic embolism, a rare condition, is often diagnosed via pathological examination of retrieved thrombi.
  • Infected aneurysms pose a significant risk, potentially forming and rupturing rapidly after septic embolism, leading to poor patient outcomes.

Observation:

  • A case involving subcortical hemorrhage caused by a rapidly formed infected aneurysm secondary to septic embolism in the left anterior cerebral artery is presented.
  • Diagnosis of septic embolism was confirmed by pathological findings of a thrombus from the occluded left middle cerebral artery.

Findings:

  • Pathological analysis of retrieved thrombi is crucial for diagnosing septic embolism.
  • Infected aneurysms can develop and rupture quickly following septic embolism, necessitating clinical vigilance.

Implications:

  • Early recognition of septic embolism and potential aneurysm formation is critical.
  • Endovascular embolization of septic embolism-occluded vessels may prevent subsequent aneurysm development and hemorrhage.
Keywords:
AneurysmPathologyRuptureSeptic embolismThrombus

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