Infected abdominal aortic aneurysm presenting with sudden appearance: diagnostic importance of serial computed tomography.
The case of an 86-year-old man with an infected abdominal aortic aneurysm (AAA) that developed suddenly over 3 weeks is presented here. Previous reports on the diagnosis of infected AAA have focused mainly on the findings of single computed tomography (CT). These include the presence of a saccular aneurysm with an irregular lumen, perianeurysmal fluid, gas and/or hematoma, osteomyelitis in adjacent vertebral bodies, disruption of intimal calcification, and obscuring of the aortic wall. Our case report presents a useful diagnostic technique for the diagnosis of infected AAA, emphasizing the importance of serial CT for suspected cases, even if the initial scan does not demonstrate the findings listed above.
Yasuhara
H
H
Department of Surgery, Teikyo Ichihara Hospital, 3426-3 Anesaki, Ichihara City, Chiba 299-0111, Japan. yasuhart-tky@umin.ac.jp
Muto
T
T
D000368:Aged; D000369:Aged, 80 and over; D000785:Aneurysm, Infected / Q000175:diagnosis*; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed