Abstract
A case of abdominal aortic aneurysm due to SALMONELLA capable of being cured by emergent resection with anatomical replacement using synthetic implant is described.
A 69-year-old man visited our hospital because of severe abdominal pain. There was a history of aortocoronary bypass and of osteomyelodysplasia (MDS). Ultrasonography revealed an abdominal aortic aneurysm. An increase in the intensity of the symptom and enlargement of the aneurysm diameter indicated imminent rupture of the aneurysm, and emergency operation was carried out. When the retroperitoneum was opened, a cystic aneurysm 5 cm in diameter was present, with an abscess formation surrounding it. A diagnosis of infectious abdominal aortic aneurysm was made. After the aneurysm was excised, the operated site was lavaged and scattered with antibiotics, and replaced with synthetic implant orthotopically. From microbiological examinations of pus SALMONELLA could be isolated. Postoperative course was uneventful. Angiography of the abdominal aorta performed at about one year after the operation revealed no abnormalities such as pseudoaneurysm formation at the anastomosed site.
