Pseudoaneurysmal formation in abdominal aorta associated with Escherichia coli infection

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概要

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• Early and accurate diagnosis of infective aortic aneurysms (IAA) is critical for adequate treatment to optimize patient outcome. We report the case of an 84-year-old man who complained of severe back pain with high fever and was finally diagnosed as Escherichia coli-related IAA. Computed tomography showed a periaortic soft tissue density and irregular fringe adjacent to the non-dilated abdominal aorta suggesting the presence of pseudoaneurysm. In addition to intravenous antibiotic injection, an aneurysmectomy with extensive debridement and an in situ graft, were successfully performed. The case emphasizes the potential for rapid IAA change and the need for frequent radiologic follow-up. © 2011 The Japanese Society of Internal Medicine.

著者

• Tsubokawa Toshinari

  Division Of Cardiology Department Of Internal Medicine And Memorial Heart Center

• Watanabe Go

  Department Of Applied Physics Graduate School Of Science And Engineering Waseda University

• Ohtake Hiroshi

  Department Of Foreign Langnages Kyoto Prefectural University Of Medicine

• Takabatake Shu

  Division Of Cardiovascular Medicine Kanazawa University Graduate School Of Medicine

• Yamagishi Masakazu

  Division Of Cardiology Department Of Internal Medicine Kanazawa University Graduate School Of Medici

• Yamagishi Masakazu

  Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Japan

• Furuta Takuya

  Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Japan

• Takabatake Shu

  Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Japan

• Ohtake Hiroshi

  Department of General and Cardiothoracic Surgery, Kanazawa University Graduate School of Medicine, Japan

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