Mycotic aneurysm of the celiac trunk: from early CT sign to rupture.
We present a case of the rapid development and rupture of a mycotic celiac trunk aneurysm. Initially on multislice computed tomography (ms-CT) there was a normal celiac trunk with minimal haziness of the surrounding fat. Only 2 weeks later the patient went into hypovolemic shock due to a ruptured celiac aneurysm. Although aneurysms of the visceral arteries are rare, they are of major clinical importance as they carry a life-threatening risk of rupture. This case illustrates the use of ms-CT in detecting and evaluating visceral aneurysms, in order to prevent emergency operation.
Department of Radiology, Medical Centre Rijnmond-Zuid, Olympiaweg 350, 3078 HT Rotterdam, The Netherlands. serafinog@mcrz.nl
Gianpiero
G
Serafino
Dammis
D
Vroegindeweij
Simone
S
Boks
Erwin
E
van der Harst
D000785:Aneurysm, Infected / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000382:microbiology; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000382:microbiology; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000382:microbiology; D013211:Staphylococcus aureus; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000382:microbiology; D013298:Streptococcus sanguis; D014057:Tomography, X-Ray Computed