Superficial femoral artery mycotic aneurysm following appendicectomy

Oshodi, Timi; Banjo, A A F; Giwa, Solomon O.

doi:10.1016/s1078-5884(98)80213-x

Cited by 9 publications

(4 citation statements)

References 4 publications

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“…2 This entity includes patients with bacteremia that seed normal or atherosclerotic arteries, weakening the arterial wall and resulting in an aneurysm. In these cases, the source of bacteria can be multiple, including pneumonia, 3 appendicitis, 4 intra-arterial drug injection by abusers, 5 osteomyelitis, 6 or typhoid fever, 7 among others. The most common bacteria associated with aortic infections are salmonella and staphylococcus, whereas streptococcal infections are rare.…”

Section: Discussionmentioning

confidence: 99%

Probable zoonotic aortitis due to group C streptococcal infection

Gonzales

Hughes

León

2007

Journal of Vascular Surgery

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Human infections due to group C streptococcus (SGC) are unusual. Among them, vascular compromise, especially aortic involvement, is extremely rare. A case of microbial aortitis with aneurysm formation, likely secondary to a SGC soft tissue infection, in a 61-year-old patient who was caring for a purulent leg wound of his horse, is presented. He was successfully treated with antibiotics and in situ aortic replacement with a prosthetic graft and an omental wrap. He remains well almost 2 years after surgical intervention. Aortic infection caused by SGC is a rare condition that can be successfully treated with in situ prosthetic graft replacement.

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Section: Discussionmentioning

confidence: 99%

Probable zoonotic aortitis due to group C streptococcal infection

Gonzales

Hughes

León

2007

Journal of Vascular Surgery

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“…Only 4 other cases of arterial infections or aortoenteric fistulas due to appendicitis have been reported. 1,[6][7][8] In almost all cases, sepsis of a pre-existing aortic aneurysm was involved, 6,7 and only once was a mycotic aneurysm caused by bacteriemia secondary to acute appendicitis demonstrated. 8 Similarly rare are arterioenteric fistulas after radiation therapy, in which the more common complications in large arteries are stenoses and occlusions or, less frequently, perforations and pseudoaneurysms.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Techniques in the Management of Acute Arterioenteric Fistulas

Knape¹,

Nieuwenhove²,

Tussenbroek

et al. 2004

J Endovasc Ther

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“…Belegt ist ein sehr breites ätiologisches Spektrum, welches zur Verursachung mykotischer Aneurysmen führen kann. Beispielhaft seien hier die Endocarditis lenta [65], die Osteomyelitis [50], die Streptococcus pneumoniae Infektion [6], die Appendizitis [44] oder eine Tuberkuloseinfektion genannt [4]. Der Pathomechanismus der Entwicklung eines mykotischen Aneurysma ist nicht lückenlos belegt.…”

Section: Diskussionunclassified

Mykotische Aneurysmen - Eine retrospektive Analyse -

Klein¹,

Drews²,

Burger³

et al. 2001

Zentralbl Chir

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12 patients (10 males and 2 females, average age 53 years) were operated upon in our hospital between 1994 and 1999 for mycotic aneurysms. The aneurysms were located in 7 patients in the aorto-iliac segment, 5 patients were treated for peripheral or visceral aneurysms. Two of these patients suffered from multiple aneurysms. When peripheral arteries were affected, a pulsatile tumour was felt. Most of these tumours developed in a relatively short period of time and sometimes a perivascular inflammation occurred. This was not the case when central arteries were attacked. A septic process or an infection, for example salmonella-enteritis, often preceded shortly the development of a mycotic aneurysm. In the case of an aneurysm of the aorto-iliac section we consider an in situ reconstruction with alloplastic material in combination with a perivascular debridement, lavage and omentum majus plastic as the treatment of choice. In peripheral arteries reconstruction should be performed with autologous vessels. Depending on the local findings, a perivascular debridement should also be performed in these cases. The reconstruction always should be combined with a calculated antibiotic therapy. Two of our patients died perioperatively. During follow up, 8 patients showed patent reconstructions and no signs of infection. The urgency of surgery depends on the level of inflammation and the existence of any secondary complications.

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Superficial femoral artery mycotic aneurysm following appendicectomy

Cited by 9 publications

References 4 publications

Probable zoonotic aortitis due to group C streptococcal infection

Probable zoonotic aortitis due to group C streptococcal infection

Endovascular Techniques in the Management of Acute Arterioenteric Fistulas

Mykotische Aneurysmen - Eine retrospektive Analyse -

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