[Septic iliac artery pseudo-aneurysm and spondylodiscitis L5-S1 induced by foreign body (wood shard) after intra-abdominal penetrating injury].
We report the case of a 46-year-old man, admitted in emergency department with a small penetrating abdominal wound. Haemodynamically stable, a first surgical exploration has been performed under local anaesthesia in the emergency department, showing no evidence of peritoneal penetration. Six weeks later, a foreign body adjacent to iliac artery septic pseudoaneurysm associated to a spondylodiscitis L5-S1 was showed on multislice CT and led to exploratory laparotomy which confirmed the radiologics pictures and found a jejunal perforation.
Argote
C
C
Service des urgences-Smur, centre hospitalier Pasteur, rue Langevin, 33210 Langon, France. coargote@hotmail.com
Colsy
M
M
Hostyn
V
V
Touchard
P
P
D000007:Abdominal Injuries / Q000150:complications*; D000465:Algorithms; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D015299:Discitis / Q000209:etiology*; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D007083:Iliac Artery; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D012447:Sacrum; D018805:Sepsis / Q000209:etiology*; D014950:Wounds, Penetrating / Q000150:complications*