Perigraft air is not always pathological: a case report.
BACKGROUND
The presence of perigraft air is a common finding in the immediate post-operative phase following abdominal aortic aneurysm repair whilst the later appearance of air, in association with elevated inflammatory markers, is regarded as being indicative of the serious complication of graft infection. What is not known is at what timepoint following surgery does the perigraft air become a significant finding.


METHODS
We report the case of a 71 year old man who underwent a computed tomography scan 15 days following repair of an abdominal aortic aneurysm because of the presence of unexplained pyrexia. The scan showed the presence of perigraft air and a small haematoma. The patient was managed conservatively and after 6 weeks the air and haematoma had resolved completely.


CONCLUSIONS
The presence of perigraft air in the early postoperative phase is probably a normal finding, is not associated with graft infection and can be managed non-operatively.
Ball
Elizabeth
E
Department of Surgery, Royal Glamorgan Hospital, Ynysmaerdy, Llantrisant, UK. garethmorrisstiff@hotmail.com.
Morris-Stiff
Gareth
G
Coxon
Mari
M
Lewis
Michael H
MH
Radiographics. 2000 Jul-Aug;20(4):977-93
10903688
Am J Surg. 1985 Aug;150(2):227-31
3161350
Radiology. 1990 Apr;175(1):157-62
2315475
J Vasc Surg. 1984 May;1(3):429-33
6481893
AJR Am J Roentgenol. 2005 Mar;184(3 Suppl):S73-4
15728029