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Aortitis infecciosa que se presenta como estreñimiento: una trampa diagnóstica
Almootazbellah M Agamy1, Ahmed Musa2, Nour J Al-Khasieb3
1General Practice, Swansea Bay University Health Board, Swansea, GBR.
Cureus
|December 22, 2025
Resumen
La aortitis infecciosa puede imitar los problemas gastrointestinales, lo que presenta un desafío diagnóstico. La obtención de imágenes y la atención multidisciplinaria son cruciales para el diagnóstico y el manejo oportunos de esta rara afección vascular.
Área de la Ciencia:
- Cirugía Vascular
- Enfermedades Infecciosas
- Diagnóstico por Imagen
Sus antecedentes:
- La aortitis es una causa poco común de dolor abdominal/de espalda, a menudo mal diagnosticada debido a síntomas inespecíficos.
- Los síntomas tempranos pueden imitar afecciones gastrointestinales benignas, lo que retrasa el diagnóstico.
Objetivo del estudio:
- Presentar un caso de aortitis infecciosa asociada a Streptococcus pneumoniae.
- Destacar los desafíos diagnósticos y la importancia de la obtención de imágenes y la colaboración multidisciplinaria.
Principales métodos:
- Informe de caso de un hombre de 59 años con sospecha de problemas gastrointestinales.
- Se utilizaron investigaciones de laboratorio e imágenes (TC/RM) para diagnosticar la aortitis.
- Se realizó una intervención urgente de cirugía vascular con colocación de injerto y terapia antibiótica.
Principales resultados:
- Diagnóstico confirmado de aortitis infecciosa asociada a Streptococcus pneumoniae.
- El paciente se sometió a una intervención quirúrgica exitosa y recibió antibióticos intravenosos prolongados.
- Se desarrolló una colección paraaórtica postoperatoria pero se manejó de forma conservadora.
Conclusiones:
- La aortitis infecciosa requiere un alto índice de sospecha en pacientes con dolor abdominal/de espalda inexplicado.
- La colaboración multidisciplinaria es esencial para un diagnóstico y manejo efectivos.
- La obtención de imágenes es fundamental para diferenciar la patología vascular de las afecciones gastrointestinales benignas.
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