CT-guided aspiration biopsy of infected aortic graft in a patient with hypertrophic osteoarthropathy. Saline injection to improve diagnostic yield--a case report.
Unilateral hypertrophic osteoarthropathy can be a diagnostic clue to chronic infection of an aortic graft and aorto-enteric fistula. In a 62-year-old woman, non-invasive diagnostic procedures failed to prove the infection. CT-guided fine needle biopsy revealed the pathogens prompting re-intervention. The biopsy result was markedly improved by injecting physiologic saline into the perigraft tissue.
Golder
W
W
Department of Radiology and Nuclear Medicine, Benjamin Franklin Hospital, Free University of Berlin, Germany.
Wolf
K J
KJ
D001012:Aorta, Abdominal / Q000601:surgery*; D001707:Biopsy, Needle / Q000379:methods*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007267:Injections; D007383:Intermittent Claudication / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010005:Osteoarthropathy, Secondary Hypertrophic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D016459:Prosthesis-Related Infections / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D011877:Radionuclide Imaging; D012086:Reoperation; D012965:Sodium Chloride / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed
D012965:Sodium Chloride