TITLE:
Mycotic Aneurysm of Infrarenal Aorta: A Case Report and Review of Literature
AUTHORS:
Irene S. Beltran-Ordonez, Tay Seow Yian, Ang Hou, Eric Wong Ming Hai
KEYWORDS:
Mycotic Aneurysm, Aorta, Peri-Aortic, Epidymo-Orchitis, Pyelonephritis, Percutaneous Endovascular Repair (EVAR) with Covered Endovascular Revascularization of Aortic Bifurcation (CERAB)
JOURNAL NAME:
Journal of Biosciences and Medicines,
Vol.3 No.3,
March
18,
2015
ABSTRACT:
Mycotic or infected aneurysms are focal
vascular dilatations from inflammation or infection that results in weakening
of the blood vessel wall. It poses a high risk of complications such as aneurysm
rupture, uncontrolled sepsis and extensive periaortic infection. Symptoms are
frequently minimal during the early stages and a high index of suspicion is
essential to make the diagnosis. They are more likely to expand rapidly and
rupture without surgical intervention. We report a case of a middle-aged man
presented with 3-week history of fever, abdominal pain and low back pain.
Initially presented as acute pyelonephritis with subsequent findings of liver
abscess, right epididymoorchitis and left infrarenal mycotic aneurysm, which
rapidly increased in size and underwent successful endovascular surgery.