Mycotic abdominal aneurysm: report of a case with emphasis on the presence of gas echoes.
Mycotic abdominal aneurysm is a relatively rare disease and its sonographic (US) findings have rarely been reported. We present a case of mycotic aneurysm of the common iliac artery in which the initial US showed a slightly wall-thickened abdominal aorta with gas echoes in the wall, a second US 6 days later showed a rapid increase in aortic size, and an emergent surgical intervention showed a mycotic aneurysm. This interesting observation suggested that the presence of gas echoes is a useful US finding indicating the beginning of a mycotic aneurysm and, when encountering this US finding, that emergent treatment should be considered to prevent delay in patient management.
Naganuma
H
H
First Department of Internal Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita City, Japan.
Ishida
H
H
Konno
K
K
Sato
M
M
Ishida
J
J
Watanabe
S
S
D000368:Aged; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging*; D005740:Gases; D006801:Humans; D007083:Iliac Artery; D008297:Male; D012480:Salmonella Infections / Q000000981:diagnostic imaging*; D014463:Ultrasonography
D005740:Gases