Radiology Case Reports (Aug 2024)

Endovascular wall-grafting for mycotic common iliac pseudo-aneurysm: Systemic mycoses

  • Safaa Mouhanni,
  • Nora Ait Youssef,
  • Kenza Boukili Makhoukhi,
  • Mehdi Lekehal,
  • Tarik Bakkali,
  • Ayoub Bounssir,
  • Brahim Lekehal

Journal volume & issue
Vol. 19, no. 8
pp. 3443 – 3448

Abstract

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Mycotic pseudoaneurysms of the iliac arteries are extremely rare and are caused by infection of the artery wall. It is difficult to diagnose early due to its silent manifestation.We present a case of a 64-year-old man with an isolated left common iliac artery pseudoaneurysm caused by Candida albicans who presented with thrombophlebitis, abdominal pain, nausea and vomiting associated with fever, which was successfully treated with interposition grafting and antibiotic therapy.We present this case to highlight that aneurysms and other vascular lesions can affect different arteries in the body and may therefore only be discovered during routine investigations of non-specific symptoms.

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