Abstract
A 63-year-old diabetic man complaining of high-grade fever, low back pain and both legs swelling was admitted to another hospital. Although he had undergone an antibiotic therapy under the diagnosis of urinary tract infection, his symptoms gradually worsened. He was transferred to our hospital. Abdominal CT scan revealed gas surrounding the saccular infrarenal abdominal aortic aneurysm. Inferior vena cava (IVC) was compressed by the aneurysm and had thrombosis. Blood culture samplings from peripheral artery yielded salmonella species, confirming the diagnosis of infected abdominal aortic aneurysm associated with IVC thrombosis. A temporary vena caval filter was placed above the renal veins for prevention of pulumonary thromboembolism prior to the operation. In-situ aortic reconstruction was performed using a EPTFE bifurcated graft. The patient remains alive without further evidence of infection as of 40 months after the operation.
