Aortic sepsis from an appendiceal abscess.
A 75-year-old man with infection in a pre-existing abdominal aortic aneurysm secondary to an appendiceal abscess is described. A single similar case has been reported in the English literature. Appendicitis was diagnosed at exploration. In both cases, the appendix was located in a retroileal position in the retroperitoneum, thereby allowing tracking of the abscess to the aneurysm wall. Resection and extra-anatomic vascular reconstruction were curative.
Mostovych
M
M
Department of Surgery, Harvard Medical School, Boston, Massachusetts 02114.
Johnson
L
L
Cambria
R P
RP
D000038:Abscess / Q000150:complications* / Q000601:surgery; D000368:Aged; D000785:Aneurysm, Infected / Q000209:etiology* / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000601:surgery; D001064:Appendicitis / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male