title: Suprarenal Clostridium septicum aortitis with rupture and simultaneous colon cancer.
abstract: We report a case of combined colon cancer and Clostridium septicum aortitis involving the suprarenal abdominal aorta with rupture. An 82-year-old male presented with fever, abdominal pain, and back pain associated with constipation. He was successfully treated by in situ aortic graft placement with polytetrafluroethylene and concomitant colon resection. Only 20 other cases of C. septicum mycotic aneurysm, aortitis, or aortic dissection have been reported. Concomitant surgical treatment for Clostridium aortitis or mycotic abdominal aortic aneurysm and colon cancer can be accomplished successfully in selected cases when the diagnosis of both conditions is made preoperatively.
authors.affiliation: Division of Vascular Surgery, Medical University of South Carolina, Charleston, SC 29425, USA. mohamed@musc.edu
authors.forename: Hussein K
authors.initials: HK
authors.lastname: Mohamed
authors.forename: Bruce M
authors.initials: BM
authors.lastname: Elliott
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Brothers
authors.forename: Jacob G
authors.initials: JG
authors.lastname: Robison
mesh_terms: D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000382:microbiology; D000785:Aneurysm, Infected / Q000382:microbiology; D017544:Aortic Aneurysm, Abdominal / Q000382:microbiology; D001019:Aortic Rupture / Q000150:complications / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D001025:Aortitis / Q000150:complications / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D003015:Clostridium Infections / Q000150:complications* / Q000382:microbiology; D052557:Clostridium septicum / Q000302:isolation & purification*; D003082:Colectomy; D003110:Colonic Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D011138:Polytetrafluoroethylene