JBM  Vol.3 No.3 , March 2015
Mycotic Aneurysm of Infrarenal Aorta: A Case Report and Review of Literature
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.
Cite this paper: Beltran-Ordonez, I. , Yian, T. , Hou, A. and Hai, E. (2015) Mycotic Aneurysm of Infrarenal Aorta: A Case Report and Review of Literature. Journal of Biosciences and Medicines, 3, 88-93. doi: 10.4236/jbm.2015.33013.

[1]   Lussier, N., Girouard, Y. and Chapleau, D. Mycotic Aneurysm of Suprarenal Aorta: Case Report and Literature Review.

[2]   Hsu, P.-J., Lee, C.-H., Lee, F.-Y. and Liu, J.-W. (2007) Clinical and Microbiological Characteristics of Mycotic Aneurysms in a Medical Center in Southern Taiwan. Journal of Microbiology, Immunology and Infection, 41, 318-324.

[3]   Chan, Y.C., Morales, J.P. and Taylor, P.R. (2005) The Management of Mycotic Aortic Aneurysms: Is There a Role for Endoluminal Treatment? Acta Chirurgica Belgica, 105, 580-587.

[4]   Papadimitriou, D., Tachtsi, M., Koutsias, S., Pitoulias, G. and Mpompoti, T. (2003) Mycotic Aneurysm of the Infrarenal Aorta. Vasa, 32, 218-220.

[5]   (2011) Overview of Infected (Mycotic) Arterial Aneurysm. UptoDate Denis Spelman, MBBS, FRACP, FRCPA, MPH.

[6]   Jaffer, U. and Gibbs, R. (2012) Mycotic Thoracoabdominal Aneurysms. Annals of Cardiothoracic Surgery, 1, 417-425.

[7]   Jarrett, F., Darling, R., Mundth, E. and Austen, W. (1977) The Management of Infected Arterial Aneurysms. Journal of Cardiovascular Surgery, 18, 361-366.

[8]   Bennett, D.E. and Cherry, M.J. (1967) Bacterial Infection of Aortic Aneurysms. American Journal of Surgery, 113, 321-326.

[9]   Chan, Y.C., Ting, A.C., Yiu, W.K. and Cheng, S.W. (2012) Successful Emergency Endovascular Treatment of Juxtarenal and Infrarental Mycotic Aortic Aneurysms in Patients with Small Diameter Aortae Using Cook? Zenith ESLE Stentgrafts. World Journal of Emergency Medicine, 3, 146-149.

[10]   Müller, B.T., Wegener, O.R., Grabitz, K., Pillny, M., Thomas, L. and Sandmann, W. (2001) Mycotic Aneurysms of the Thoracic and Abdominal Aorta and Iliac Arteries: Experience with Anatomic and Extra-Anatomic Repair in 33 Cases. Journal of Vascular Surgery, 33, 106-113.

[11]   Kan, C.-D., Lee, H.-L. and Yang, Y.-J. (2007) Outcome after Endovascular Stent Graft Treatment for Mycotic Aortic Aneurysm: A Systematic Review. Journal of Vascular Surgery, 46, 906-912.

[12]   Arko, F.R., Smith, S.T. and Zarins, C.K. (2007) Repair of Infrarenal Abdominal Aortic Aneurysms. ACS Surgery: Principles and Practice.

[13]   Thompson, M.M., Sayers, R.D. and Bell, R.F. (1997) Endovascular Aneurysm Repair. BMJ, 314, 1139.

[14]   Goverde, P.C., Grimme, F.A., Verbruggen, P.J. and Reijnen, M.M. (2013) Covered Endovascular Reconstruction of Aortic Bifurcation or CERAB Technique for Treating Extensive Aortoiliac Occlusive Disease. Journal of Cardiovascular Surgery (Torino), 54, 383-387.