Chronic contained rupture of an aortic aneurysm mimicking infective spondylitis

Grevitt, Michael; Fagg, Phillip S.; Mulholland, Robert C.

doi:10.1007/bf00298393

Cited by 26 publications

(5 citation statements)

References 10 publications

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“…A few reports in the literature describe spinal complications of aortic aneurysm. [1][2][3] At this writing, the occurrence of vertebrae erosions in combination with a vascular prosthetic device has not been reported. Vertebral collapse and lytic lesions usually are related to fractures, tumors, osteoporosis, spondylitis, or spondylodiscitis.…”

Section: Discussionmentioning

confidence: 80%

Severe Erosion of Lumbar Vertebral Body Because of Abdominal Aortic False Aneurysm

Diekerhof

Dortland

Oner³

et al. 2002

Spine

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Section: Discussionmentioning

confidence: 80%

Severe Erosion of Lumbar Vertebral Body Because of Abdominal Aortic False Aneurysm

Diekerhof

Dortland

Oner³

et al. 2002

Spine

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“…The final studies included were case reports or series. Eighteen reports referred to abdominal conditions that mimic spinal diseases ( Table 1 ), 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 among them a patient with cyclic lumbar back pain who received a lumbar spinal fusion who, after persisting symptoms led to further diagnostic procedures, was ultimately diagnosed with endometriosis. 15 Spinal symptoms included paraplegia and urinary incontinence as results of acute aortic pathologies.…”

Section: Literature Review and Discussionmentioning

confidence: 99%

“…Larsson et al 27 Aortic aneurysm or dissection Spinal cord ischemia with symptoms mimicking those of compressive spinal disease Grevitt et al 28 Abdominal aortic aneurysm Infective spondylitis Tsolakis et al 29 Abdominal aortic aneurysm Discus hernia syndrome and paraplegia…”

Section: Fundingmentioning

confidence: 99%

Lumbar Spondylodiscitis Mimicking Cholecystitis: A Case Report and Review of Literature

Mirbagheri

Etminan

Schölch

et al. 2022

J Neurol Surg A Cent Eur Neurosurg

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Background and Objective: Lower back pain is a frequent cause of Emergency Department visits and one of the leading causes of the disease burden worldwide. The purpose of this case report and literature review was to discuss atypical abdominal entities mimicking spinal diseases typically presenting with lower back pain. Patient and Methods: A 79-year-old male presented with lower back pain and urinary incontinence after receiving a non-image-guided lumbar infiltration treatment four weeks prior to admission. The MRI highlighted multi-segmental hyperintensities in the intervertebral disc spaces of the lumbar spine indicative for spondylodiscitis. Antibiotic treatment over a week did not lead to significant clinical improvement. Blood cultures, cardiologic, otorhinolaryngologic and dental examinations turned out negative for a focus of infection. A CT-guided biopsy was indicated after discontinuation of antibiotic treatment for less than 24 hours. Rapid clinical deterioration with concomitant onset of abdominal pain resulted in the diagnosis of cholecystitis, which required cholecystectomy. We performed a systematic literature review using the Pubmed database for the key words “spondylodiscitis”, “spine”, “abdominal” and “cholecystitis”, to identify abdominal diseases that mimic spine pathologies and spinal diseases that mimic abdominal pathologies. Results: No other report in English literature of cholecystitis associated with initial onset of lower back pain was identified. Eighteen reports referred to abdominal conditions that mimic spinal diseases among them a patient with cyclic lumbar back pain who received a lumbar spinal fusion who, after persisting symptoms led to further diagnostic procedures, was ultimately diagnosed with endometriosis. Spinal symptoms included paraplegia and urinary incontinence as results of acute aortic pathologies. Eleven reports presented spinal pain mimicking abdominal conditions including abdominal pain and diarrhea as well as have had surgical procedures such as an appendectomy before the spinal condition was discovered. Conclusion: Clinical symptoms of the spine such as lower back pain can be unspecific and lead to false conclusions in the presence of concomitant pathologies in MRI. Only clinical deterioration in our case patient prompted correction of the diagnosis on day seven. Initial workup for alternative common infectious foci such as lung and urinary tract was performed, but further abdominal workup despite the absence of abdominal symptoms may have led to an earlier diagnosis. Our literature review found several cases of misdiagnosed spinal and abdominal conditions, respectively. Some had undergone unnecessary invasive surgical procedures before the right diagnosis was concluded. Because of the high incidence of symptoms such as lumbar back pain as well as abdominal pain, considering optimal patient care as well as economic aspects it would be essential to conduct an interdisciplinary clinical management to avoid errors in the early stage of diagnostics.

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“…Lorsque l'anévrisme infectieux est de petite taille, il est difficile d'établir un diagnostic précoce [3,4]. La bactérie la plus fréquemment mise en cause dans les anévrismes aortiques est Salmonellae [3], mais Mycobacterium et d'autres bacilles Gram négatif peuvent également être à l'origine d'anévrismes aortiques infectieux [5].…”

Section: Référencesunclassified

Extension d’une infection d’un anévrisme de l’aorte abdominale aux vertèbres L3 et L4 : à propos d’un cas

Uchida

Nakajima

Yayama

et al. 2010

Revue du Rhumatisme

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Chronic contained rupture of an aortic aneurysm mimicking infective spondylitis

Cited by 26 publications

References 10 publications

Severe Erosion of Lumbar Vertebral Body Because of Abdominal Aortic False Aneurysm

Severe Erosion of Lumbar Vertebral Body Because of Abdominal Aortic False Aneurysm

Lumbar Spondylodiscitis Mimicking Cholecystitis: A Case Report and Review of Literature

Extension d’une infection d’un anévrisme de l’aorte abdominale aux vertèbres L3 et L4 : à propos d’un cas

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