Aortocaval fistula complicated with bacteremia due to Escherichia coli: report of a case.
We herein report a case of aortocaval fistula complicated with bacteremia due to Escherichia coli in a 78-year-old man who underwent an emergency operation. A surgical resection of the abdominal aortic aneurysm with a closure of the fistula, and reconstruction with an expanded polytetrafluoroethylene bifurcated graft and wrapping with an omental flap, were performed followed by a 9-week continuous administration of antibiotics. Thereafter, antifungal agents were administered and the results were good. Both an early diagnosis and prompt surgery are important for such patients, and long-term administration of antibacterial agents is also necessary.
Inoguchi
Hiroyuki
H
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Mii
Shinsuke
S
Orita
Hiroyuki
H
Sakata
Hisanobu
H
Kaiduka
Yasuro
Y
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000601:surgery; D001019:Aortic Rupture / Q000150:complications / Q000601:surgery; D001164:Arteriovenous Fistula / Q000150:complications* / Q000601:surgery; D016470:Bacteremia / Q000150:complications*; D004927:Escherichia coli Infections / Q000150:complications*; D006801:Humans; D008297:Male; D014682:Vena Cava, Inferior / Q000601:surgery