An unusual case of aortic graft infection: a case report and review of the literature

Abstract

Graft-appendiceal fistula is a rare variation of aorto-enteric fistula. We report on the presentation and management of a 70-year-old lady who presented ten years after an aortobifemoral graft with a discharging sinus in her right groin. Investigations suggested aortic graft infection and she was taken to theatre for a laparotomy. An inflamed appendix with a necrotic tip was found in contact with the aortic graft. The infected graft was excised and an appendicectomy was performed. The distal organs were revascularised with an axillobifemoral graft. We review similar case reports.