Mycotic aortic and left iliac ruptured aneurysm due to <i>Escherichia Coli</i>: a case report and literature overview

Ballaith, Ali; Raffort, Juliette; Rajhi, Khalid; Salucki, Benjamin; Drai, Céline; Jean-Baptiste, Elixène; Hassen-Khodja, Réda; Lareyre, Fabien

doi:10.1080/00015458.2020.1753146

Cited by 4 publications

(2 citation statements)

References 20 publications

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“…If they are not diagnosed and treated, they can rapidly lead to significant morbidity and mortality if they rupture. 1 This case presented a unique patient who was diagnosed with a left common iliac MPA due to P mirabilis, which appeared to be a direct complication from an extensive retroperitoneal abscess associated with a previous spinal procedure.…”

Section: Discussionmentioning

confidence: 92%

“…Bacterial and fungal infections of an arterial wall can lead to significant morbidity and mortality through the creation of aneurysms and pseudoaneurysms and the complications they entail. 1 The term "mycotic" is used to encompass both fungal and bacterial causes of infection. 2 These infections can occur in any artery, and case reports describe several locations.…”

Section: Introductionmentioning

confidence: 99%

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Common Iliac Artery Mycotic Pseudoaneurysm Associated with a Prevertebral Infection: A Case Report

Davis,

Greene,

Anzalone

2023

Clinical Practice and Cases in Emergency Medicine

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Introduction: Mycotic pseudoaneurysms are rare but severe sequelae of an arterial wall infection. If undiagnosed and untreated they can lead to signiﬁcant morbidity and mortality through complications such as arterial rupture or dissection.Case report: This report details the case of a 64-year-old-male who developed a left common iliac artery mycotic pseudoaneurysm from Proteus mirabilis, which was associated with a prevertebral abscess. The patient presented with isolated, left lower extremity edema and intermittent fevers. The case is unique in both the pathogen (P mirabilis) and in its association with presumed direct arterial wall infection from an adjacent prevertebral abscess.Conclusion: The obscure presentation highlights the need for a high clinical suspicion of such a diagnosis when a patient presents with a certain constellation of symptoms and the right predisposing risk factors in their history.

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Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Common Iliac Artery Mycotic Pseudoaneurysm Associated with a Prevertebral Infection: A Case Report

Davis,

Greene,

Anzalone

2023

Clinical Practice and Cases in Emergency Medicine

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Endovascular Treatment for Isolated Infected Iliac Artery Aneurysms

et al. 2023

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Purpose: Isolated infected iliac artery aneurysms (IIIAAs) are extremely rare, life-threatening, and intractable. This study aimed to evaluate the outcomes of endovascular treatment in patients with IIIAAs. Methods: A retrospective study was conducted for all patients who underwent endovascular treatment for IIIAAs between June 2012 and June 2022 in 3 hospitals. The clinical data and follow-up outcomes were reviewed and assessed. Results: Fifteen patients were included in this study. The median age was 69 years, 12 patients (80%) were men, and 8 (53%) had hypertension. Most of the patients presented with abdominal or lumbar pain (87%) and fever (60%). The offending pathogen was identified in 11 patients (73%). Fifteen patients had a total of 16 IIIAAs, with 12 (75%) involving the common iliac artery. The immediate technical success rate was 100%, and the 30-day mortality was 7%. Infection-related complications occurred in 2 patients (13%) during hospitalization who were treated by open surgery at a later stage. The median follow-up was 23 months (range: 6–80 months, mean: 32 ± 25 months). Aneurysm recurrence was identified in one patient (7%) 5 months after endovascular repair. It was managed by endovascular stent-graft repair with percutaneous catheter drainage. No patients died during the follow-up period. Conclusion: Endovascular treatment is feasible, safe, and effective for patients with IIIAAs, achieving acceptable clinical outcomes. Infection surveillance with essential reintervention should be considered for potential infection-related complications. Clinical Impact This study first reported that 15 patients underwent endovascular treatment for primary isolated infected iliac artery aneurysms (IIIAAs). It showed a good early and midterm outcomes. This is the first and largest multi-center study and the first literature review of IIIAAs. It provides an evidence that endovascular treatment is feasible, safe, and effective to treat IIIAAs. It suggests endovascular treatment is a promising alternative or a bridge to conventional open surgery for IIIAAs. This may promote endovascular therapy in the management of IIIAAs. It would help clinicians to make an appropriate treatment choice for IIIAAs.

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Computed Tomography Imaging Analysis and Diagnosis of Infective Native Aortic Aneurysm

霍

2024

ACM

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Mycotic aortic and left iliac ruptured aneurysm due to Escherichia Coli: a case report and literature overview

Cited by 4 publications

References 20 publications

Common Iliac Artery Mycotic Pseudoaneurysm Associated with a Prevertebral Infection: A Case Report

Common Iliac Artery Mycotic Pseudoaneurysm Associated with a Prevertebral Infection: A Case Report

Endovascular Treatment for Isolated Infected Iliac Artery Aneurysms

Computed Tomography Imaging Analysis and Diagnosis of Infective Native Aortic Aneurysm

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