Infected Abdominal Aortic Aneurysm After Transrectal Ultrasound-Guided Biopsy of the Prostate: A Report of Two Cases

Al-Ani, Haya H; Khashram, Manar; Dean, Anastasia; Bourchier, Russell G.; Bhamidipaty, Venu; Hill, Andrew

doi:10.1016/j.avsg.2019.05.021

Cited by 2 publications

(4 citation statements)

References 11 publications

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“…In our case, there was no known history of GI malignancies, but our patient did have a TRUS prostate biopsy a month before admission. In 2019, Al‐Ani et al 9 . reported two cases of mycotic abdominal aortic aneurysms after TRUS prostate biopsy occurring less than 10 days after the procedure.…”

Section: Discussionmentioning

confidence: 99%

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A rare case of mycotic aortic aneurysm with Clostridium perfringens culture

Tadayon,

Shahsavari,

Yahya

et al. 2023

Clinical Case Reports

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Key Clinical MessageAs only early diagnosis, prompt surgical intervention, and appropriate antibiotic therapy can decrease clostridial MAA mortality rate; keeping in mind a broad differential diagnosis in a patient with sepsis and unusual vascular symptoms is important.AbstractMycotic aortic aneurysm (MAA) is an infrequent but very consequential condition characterized by the pathological disruption of the aorta due to infection. Clostridium perfringens is a bacterium that falls under the taxonomic classification of the genus Clostridium. Although mycotic aneurysm is often not commonly linked with this infection, there are instances when it may function as a causative agent for MAA. Timely diagnosis and thorough therapeutic techniques, including surgical intervention and quick administration of appropriate antibiotics, can potentially reduce the mortality rate associated with clostridial MAA. In this study, we presented a clinical report detailing the diagnosis of a mycotic aneurysm caused by C. perfringens in the thoracic aorta in a 66‐year‐old male patient with a history of diabetes mellitus and a recent prostate biopsy. Furthermore, we discussed the surgical approach and overall management strategy to address this case.

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Section: Discussionmentioning

confidence: 99%

“…Successful management of MTAA can be achieved by early diagnosis and antibiotic and surgical treatment. 8,9 Herein, we report a case of a patient diagnosed with a mycotic aneurysm of the thoracic aorta caused by Clostridium perfringens and the surgical management of the case.…”

Section: Introductionmentioning

confidence: 99%

A rare case of mycotic aortic aneurysm with Clostridium perfringens culture

Tadayon,

Shahsavari,

Yahya

et al. 2023

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, prostate abscess with infected aneurysms and spondylodiscitis has not been reported in the literature as a complication of transrectal prostate biopsy. Furthermore, infected aneurysm alone is an extremely rare complication of TURS-guided prostate biopsy: only two cases have been reported previously [3]. Infected aneurysms can arise because of the hematogenous spread of bacteria, which cause aneurysmal changes in the arterial wall, and a pathogen can be further disseminated by this route to cause a prostate abscess.…”

Section: Discussionmentioning

confidence: 99%

Prostatic abscess with infected aneurysms and spondylodiscitis after transrectal ultrasound-guided prostate biopsy: a case report and literature review

et al. 2021

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Background Transrectal ultrasonography (TRUS)-guided prostate biopsy is the conventional method of diagnosing prostate cancer. TRUS-guided prostate biopsy can occasionally be associated with severe complications. Here, we report the first case of a prostate abscess with aneurysms and spondylodiscitis as a complication of TRUS-guided prostate biopsy, and we review the relevant literature. Case presentation A 78-year-old man presented with back pain, sepsis, and prostate abscesses. Twenty days after TRUS-guided prostate biopsy, he was found to have a 20-mm diameter abdominal aortic aneurysm that expanded to 28.2 mm in the space of a week, despite antibiotic therapy. Therefore, he underwent transurethral resection of the prostate to control prostatic abscesses. Although his aneurysm decreased to 23 mm in size after surgery, he continued to experience back pain. He was diagnosed as having pyogenic spondylitis and this was managed using a lumbar corset. Sixty-four days after the prostate biopsy, the aneurysm had re-expanded to 30 mm; therefore, we performed endovascular aneurysm repair (EVAR) using a microcore stent graft 82 days after the biopsy. Four days after the EVAR, the patient developed acute cholecystitis, and he underwent endoscopic retrograde biliary drainage. One hundred and sixty days after the prostate biopsy, all the complications had improved, and he was discharged. A literature review identified a further six cases of spondylodiscitis that had occurred after transrectal ultrasound-guided prostate biopsy. Conclusions We have reported the first case of a complication of TRUS-guided prostate biopsy that involved prostatic abscesses, aneurysms, and spondylodiscitis. Although such complications are uncommon, clinicians should be aware of the potential for such severe complications of this procedure to develop.

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Infected Abdominal Aortic Aneurysm After Transrectal Ultrasound-Guided Biopsy of the Prostate: A Report of Two Cases

Cited by 2 publications

References 11 publications

A rare case of mycotic aortic aneurysm with Clostridium perfringens culture

A rare case of mycotic aortic aneurysm with Clostridium perfringens culture

Prostatic abscess with infected aneurysms and spondylodiscitis after transrectal ultrasound-guided prostate biopsy: a case report and literature review

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