Infected Abdominal Aortic Aneurysm with Severe Sepsis: Successful Outcome

Abstract

Primary infection of aorta, in absence of atherosclerosis, leading to aneurysm formation occurs in <1% of cases. Early diagnosis and surgical treatment are important to offset associated poor prognosis. A preoperative diagnosis is often missed due to nonspecific presentation. Computed tomography can confirm the diagnosis in suspected cases. Confirmation of diagnosis often warrants deviation from usual surgical techniques of management of abdominal aortic aneurysm. A case is described, of a toxic male patient, detected to have an infected aortic aneurysm with multiorgan dysfunction presented in septic shock. He could be successfully managed by an aggressive surgical and medical approach.

Keywords

• Extra-anatomic bypass
• infected aneurysm
• pyelonephritis