Successful treatment of a ruptured mycotic aneurysm of the ileocolic artery with transcatheter embolization and antibiotic therapy.
We report a case of mycotic aneurysm of the ileocolic artery due to Streptococcus bovis endocarditis and acute septicemia complicated by active hemorrhage, that was treated successfully with transcatheter embolization and subsequent intravenous antibiotic treatment. This case suggests that a mycotic aneurysm can be treated successfully by percutaneous embolization in an emergent situation (active bleeding, septicemia) even without previous antibiotic therapy.
Poletti
P A
PA
Division de Radiodiagnostic et Radiologie Interventionnelle, University Hospital of Geneva, Switzerland.
Vargas
M I
MI
Becker
C D
CD
D000785:Aneurysm, Infected / Q000628:therapy*; D017542:Aneurysm, Ruptured / Q000628:therapy*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D004359:Drug Therapy, Combination / Q000627:therapeutic use*; D004621:Embolization, Therapeutic; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D017543:Iliac Aneurysm / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D013290:Streptococcal Infections / Q000188:drug therapy; D016985:Streptococcus bovis
D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D005839:Gentamicins; D002443:Ceftriaxone