Infected abdominal aortic aneurysm associated with a psoas abscess, aorto-duodenal and sigmoid fistulas. Case report and review of the literature.
A case of atherosclerotic abdominal aortic aneurysm, complicated by aortoenteric fistulizations and infected by Escherichia coli, is presented. Chronic contained rupture resulted in the formation of a huge left psoas abscess which was responsible for the symptoms. No similar case has been reported in the literature. Resection and extra-anatomic vascular reconstruction were curative.
Louagie
Y A
YA
Department of Cardiovascular and Thoracic Surgery, University Clinics of Mont-Godinne (Catholic University of Louvain), Mont-Yvoir, Belgium.
de Cannière
L
L
Donckier
J
J
Reymond
M
M
Evrard
P
P
Weber
E
E
Randour
P
P
Eucher
P
P
Buche
M
M
Schoevaerdts
J C
JC
D000368:Aged; D000785:Aneurysm, Infected / Q000150:complications*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001018:Aortic Diseases / Q000150:complications; D004378:Duodenal Diseases / Q000150:complications*; D005402:Fistula / Q000150:complications*; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications*; D008297:Male; D016659:Psoas Abscess / Q000150:complications*; D012810:Sigmoid Diseases / Q000150:complications*; D014057:Tomography, X-Ray Computed