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Mesenteric pseudoaneurysm resulting from septic embolism
D C Cassada1, S L Stevens, G S Schuchmann
1Department of Surgery, University of Tennessee Medical Center at Knoxville, Knoxville, TN, USA.
Abstract:
Symptomatic peripheral septic embolism is a rare systemic complication of infective endocarditis. This case report describes abdominal pain secondary to a septic pseudoaneurysm in the distal superior mesenteric artery. Presentation, imaging, surgical intervention, and histologic evaluation are described, and a review of recent literature relating to this phenomenon is outlined.
Insights
Septic peripheral embolism, a rare infective endocarditis complication, can cause abdominal pain due to septic pseudoaneurysms. This case highlights diagnosis and surgical management of a superior mesenteric artery pseudoaneurysm.
Area of Science:
- Cardiology
- Vascular Surgery
- Infectious Diseases
Background:
- Infective endocarditis (IE) can lead to systemic complications, including septic emboli.
- Peripheral septic emboli are uncommon but serious manifestations of IE.
Observation:
- This case report details a patient presenting with abdominal pain.
- The pain was attributed to a septic pseudoaneurysm in the distal superior mesenteric artery.
Findings:
- The report outlines the diagnostic process, including imaging studies.
- It details the surgical intervention and subsequent histologic findings.
- A review of current literature on septic pseudoaneurysms secondary to IE is included.
Implications:
- This case underscores the importance of considering septic pseudoaneurysms in patients with IE and abdominal symptoms.
- Early diagnosis and surgical management are crucial for favorable outcomes.
- Further research into the management of this rare complication is warranted.