A case of contained ruptured aortitis due to Clostridium septicum infection in a patient with a colon malignancy.
We discuss a case of contained ruptured aortitis due to Clostridium septicum infection in a 71-year-old man, who had undergone a right hemicolectomy and cholecystectomy to treat an ascending colon carcinoma. Computed tomography identified a juxtarenal abdominal aneurysm with gas formation in the right psoas muscle. Emergency abdominal exploration revealed a ruptured aortitis. After in situ graft replacement of the abdominal aorta, Clostridium septicum was identified in tissue culture. Antibiotic therapy with penicillin G was administered. The postoperative course was complicated by a retroperitoneal haematoma which necessitated surgical revision. The patient was discharged 2 months afterwards. At clinical monitoring at 6 months he is still doing well.
Asciutto
Giuseppe
G
Klinik für Gefässchirurgie, St. Josef-Hospital, Klinikum der Ruhr-Universität, Bochum.
Geier
Bruno
B
Marpe
Barbara
B
Hummel
Thomas
T
Mumme
Achim
A
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001025:Aortitis / Q000150:complications / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery*; D003015:Clostridium Infections / Q000150:complications* / Q000601:surgery; D052557:Clostridium septicum / Q000302:isolation & purification; D003110:Colonic Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D005738:Gas Gangrene / Q000150:complications* / Q000601:surgery; D006406:Hematoma / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D010400:Penicillin G / Q000627:therapeutic use; D012086:Reoperation; D012187:Retroperitoneal Space; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D010400:Penicillin G