Primary Aortoduodenal Fistula without Abdominal Aortic Aneurysm in Association with Psoas Abscess

Psoas abscess in patients with an infected aortic aneurysm

“…28 The total number of previously reported patients with aortic infection complicated by psoas abscess in the English literature was about a dozen. [10][11][12][13][14][15][16][17] Salmonella spp were the most common responsible pathogens. 10 The prognosis of infected aneurysm was poor, especially in the case of rupture of the aneurysm.…”

“…10 The incidence and clinical significance of psoas abscess in patients with infected aortic aneurysm are unclear, and only sporadic cases have been reported in the English literature. [10][11][12][13][14][15][16][17] The purpose of this retrospective study was to examine the incidence, clinical presentations, microbiologic characteristics, and outcome of psoas abscess in patients with infected aortic aneurysm.…”

Endovascular Repair with a Stent Graft in a Patient with Aortoduodenal Fistula after Radiation Therapy

“…Since the first description of primary ADF was published by Astley Cooper in 1839, less than 200 primary aortoenteric fistula (AEF) cases have been reported in the English-language literature; 73% of primary AEF were from atherosclerotic aneurysms, 26% were from traumatic or mycotic aneurysms, and the remaining 1% were caused by radiation, metastases, pancreatic carcinoma, ulcers, gallstones, diverticulitis, appendicitis, and cystic medial necrosis [ 1 ]. As described in the Introduction, primary ADF involving a normal-size aorta is rare [ 2 ]; furthermore, ADF related to radiation therapy is extremely rare. Puccio reviewed the research on this uncommon condition and reported that radiation related AEF was not associated with aneurysm in all eight cases, including their own case [ 3 ].…”

“…Primary ADF often occurs as a result of atherosclerotic aneurysm and infection [ 1 ]. ADF involving a normal-size aorta is rare [ 2 ]; furthermore, ADF related to radiation therapy is extremely rare. Herein, we present a case of ADF related to radiation-induced arteriosclerosis/aortopathy and enteritis, treated with an endovascular stent graft.…”

Use of omental pedicles in mycotic abdominal aortic aneurysm repair

“…4 There are few previously cases of aortic infection complicated by a psoas abscess and the incidence of psoas abscess in patients with a mycotic aortic aneurysm has been reported at 4-20%. [5][6][7][8][9][10][11][12][13] Ideally, before surgery is undertaken, the patient should be apyrexial, blood cultures sterile and inflammatory markers normal. Surgical management in the form of wide debridement and resection of the infected aorta and the surrounding infected tissue followed by distal revascularization together with long-term antibiotics has been the standard treatment.…”