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Related Experiment Videos

Aortic sepsis from an appendiceal abscess

M Mostovych1, L Johnson, R P Cambria

  • 1Department of Surgery, Harvard Medical School, Boston, Massachusetts 02114.

Cardiovascular Surgery (London, England)
|February 1, 1994
PubMed
Summary
This summary is machine-generated.

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A rare case of abdominal aortic aneurysm infection caused by an appendiceal abscess is presented. Surgical intervention, including resection and vascular reconstruction, proved curative for this uncommon presentation.

Area of Science:

  • Vascular Surgery
  • Gastrointestinal Surgery
  • Infectious Disease

Background:

  • Appendiceal abscesses are typically intra-abdominal infections.
  • Abdominal aortic aneurysms (AAAs) can become infected, forming mycotic aneurysms.
  • The contiguous spread of infection from an appendiceal abscess to an AAA is exceptionally rare.

Observation:

  • A 75-year-old male presented with an infected abdominal aortic aneurysm.
  • The infection was secondary to a retroperitoneal appendiceal abscess.
  • The appendix was located in a retroileal position, facilitating abscess tracking to the aneurysm.

Findings:

  • This represents only the second reported case in the English literature of an appendiceal abscess causing AAA infection.
  • Appendicitis was confirmed during surgical exploration.

Related Experiment Videos

  • Successful treatment involved surgical resection of the infected aneurysm and extra-anatomic vascular reconstruction.

    • Implications:

    • Highlights the potential for retroperitoneal appendiceal abscesses to directly infect adjacent abdominal aortic aneurysms.
    • Emphasizes the importance of considering unusual infectious sources in patients with infected AAAs.
    • Demonstrates the efficacy of surgical management in this rare clinical scenario.