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Endovascular wall-grafting for mycotic common iliac pseudo-aneurysm: Systemic mycoses
Safaa Mouhanni1,2, Nora Ait Youssef1,2, Kenza Boukili Makhoukhi1,2
1Mohammed V University in Rabat, Rabat, Morocco.
Abstract:
Mycotic pseudoaneurysms of the iliac arteries are extremely rare and are caused by infection of the artery wall. It is difficult to diagnose early due to its silent manifestation. We present a case of a 64-year-old man with an isolated left common iliac artery pseudoaneurysm caused by Candida albicans who presented with thrombophlebitis, abdominal pain, nausea and vomiting associated with fever, which was successfully treated with interposition grafting and antibiotic therapy. We present this case to highlight that aneurysms and other vascular lesions can affect different arteries in the body and may therefore only be discovered during routine investigations of non-specific symptoms.
Insights
Mycotic pseudoaneurysms, rare infections of artery walls, are hard to detect early. This case highlights successful treatment of a Candida albicans iliac artery pseudoaneurysm with surgery and antibiotics.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Medical Mycology
Background:
- Mycotic pseudoaneurysms of the iliac arteries are rare vascular infections.
- Early diagnosis is challenging due to often asymptomatic presentation.
Observation:
- A 64-year-old male presented with symptoms including thrombophlebitis, abdominal pain, nausea, vomiting, and fever.
- Imaging revealed an isolated left common iliac artery pseudoaneurysm.
Findings:
- The pseudoaneurysm was attributed to Candida albicans infection.
- Successful treatment involved interposition grafting and targeted antibiotic therapy.
Implications:
- This case underscores the importance of considering vascular lesions in patients with non-specific symptoms.
- Highlights the potential for fungal infections to cause rare arterial pseudoaneurysms.
- Emphasizes the need for comprehensive investigation of diverse arterial pathologies.
