Ruptured mycotic abdominal aortic aneurysm in the setting of an adjacent perinephric abscess
DOI:
https://doi.org/10.18203/2349-2902.isj20242769Keywords:
Mycotic aneurysm, Perinephric abscess, Prosthetic vascular graftAbstract
Arterial aneurysms are most commonly present due to progressive vessel wall injury. They may then act as a nidus for bacterial seeding that can lead to the formation of a mycotic aneurysm in 2.5% of all abdominal aneurysms, which is associated with high mortality. Management of mycotic aortic aneurysm has been challenging always. Here we present a rare case of a ruptured mycotic aneurysm secondary to contiguous extension of a perinephric abscess. The patient required emergent surgery and underwent reconstruction of the aorta using a Dacron graft with a good 18 months outcome.
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