A Case of Successful Surgical Treatment for Open Ruptured Abdominal Aortic Aneurysm due to Salmonella Infection.
10.4326/jjcvs.31.194
- VernacularTitle:腹腔内破裂した感染性腹部大動脈りゅうの1救命例
- Author:
Shinji Miyamoto
;
Eriko Iwata
;
Hirofumi Anai
;
Hidenori Sako
;
Hirotsugu Hamamoto
;
Osamu Shigemitsu
;
Tetsuo Hadama
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2002;31(3):194-197
- CountryJapan
- Language:Japanese
-
Abstract:
A 60-year-old man with impending rupture of abdominal aortic aneurysm was transferred to our hospital. The patient entered a state of shock because of rupture during a CT scan examination. Emergency in site reconstruction with a dacron Y-graft was performed. There was massive intraperitoneal bleeding but no apparent abscess formation around the aneurysm. No drain was placed. A subcutaneous abscess that developed postoperatively was cured by open drainage and local antibiotic administration. Culture from both the aortic wall and the subcutaneous abscess revealed Salmonella infection. After subsequent intravenous antibiotic therapy for 45 days, the patient was discharged without any evidence of remaining infection.