title: Chronic contained rupture of the descending thoracic aorta due to infection by Escherichia coli.
abstract: A 71-year-old man presented with hemoptysis due to chronic contained rupture of the descending thoracic aorta after sepsis by Escherichia coli complicated with transrectal biopsy of the prostate, and underwent urgent graft replacement. The aorta had an almost normal caliber and ruptured into the left lung without abscess. The perforated site of the lung was filled with gelatin-resorcinol-formaldehyde glue, and the defect of the aortic wall was closed. Without graft infection, lung abscess, or sepsis, the patient was discharged followed by 1 month's intravenous administration of cefazolin and piperacillin sensitive to Escherichia coli after the surgery.
authors: First Department of Surgery, Gifu University School of Medicine, 40 Tsukasa, Gifu, 500-8705, Japan. h-takagi@cc.gifu-u.ac.jp
authors: Hisato
authors: H
authors: Takagi
authors: Sho
authors: S
authors: Nachi
authors: Yukihiro
authors: Y
authors: Matsuno
authors: Yukio
authors: Y
authors: Umeda
authors: Yukiomi
authors: Y
authors: Fukumoto
authors: Yoshio
authors: Y
authors: Mori
mesh_terms: D000368:Aged; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D002908:Chronic Disease; D004927:Escherichia coli Infections / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed