Chronic contained rupture of the descending thoracic aorta due to infection by Escherichia coli.
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.
Takagi
Hisato
H
First Department of Surgery, Gifu University School of Medicine, 40 Tsukasa, Gifu, 500-8705, Japan. h-takagi@cc.gifu-u.ac.jp
Nachi
Sho
S
Matsuno
Yukihiro
Y
Umeda
Yukio
Y
Fukumoto
Yukiomi
Y
Mori
Yoshio
Y
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