Rare Presentation of a Syphilitic Aneurysm of the Infrarenal Aorta with Contained Rupture

• Published in: Annals of vascular surgery Vol. 47; pp. 279.e13 - 279.e17
• Main Authors: Chitragari, Gautham, Laux, Anne T., Hicks, Taylor D., Davies, Mark G., Haidar, Georges M.
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01.02.2018
• Subjects: Abdominal Pain - etiology; Aneurysm, Infected - diagnostic imaging; Aneurysm, Infected - microbiology; Aneurysm, Infected - surgery; Anti-Bacterial Agents - therapeutic use; Aortic Aneurysm, Abdominal - diagnostic imaging; Aortic Aneurysm, Abdominal - microbiology; Aortic Aneurysm, Abdominal - surgery; Aortic Rupture - diagnostic imaging; Aortic Rupture - microbiology; Aortic Rupture - surgery; Aortography - methods; Blood Vessel Prosthesis Implantation; Computed Tomography Angiography; Humans; Male; Middle Aged; Syphilis, Cardiovascular - diagnosis; Syphilis, Cardiovascular - microbiology; Syphilis, Cardiovascular - surgery; Treatment Outcome

We report, to our knowledge, the first case of a rare syphilitic infrarenal aortouniiliac aneurysm with contained rupture that presented with midepigastric abdominal pain. Review of the patient's medical history revealed untreated syphilis and poorly treated congestive heart failure. Given his...