Suprarenal Clostridium septicum Aortitis with Rupture and Simultaneous Colon Cancer

• Published in: Annals of vascular surgery Vol. 20; no. 6; pp. 825 - 829
• Main Authors: Mohamed, Hussein K., Elliott, Bruce M., Brothers, Thomas E., Robison, Jacob G.
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01.11.2006; Elsevier Limited
• Subjects: Aged, 80 and over; Aneurysm, False - microbiology; Aneurysm, Infected - microbiology; Aortic Aneurysm, Abdominal - microbiology; Aortic Rupture - complications; Aortic Rupture - diagnostic imaging; Aortic Rupture - microbiology; Aortic Rupture - surgery; Aortitis - complications; Aortitis - diagnostic imaging; Aortitis - microbiology; Aortitis - surgery; Blood Vessel Prosthesis Implantation; Clostridium; Clostridium Infections - complications; Clostridium Infections - microbiology; Clostridium septicum; Clostridium septicum - isolation & purification; Colectomy; Colonic Neoplasms - complications; Colonic Neoplasms - diagnostic imaging; Colonic Neoplasms - surgery; Humans; Male; Polytetrafluoroethylene; Tomography, X-Ray Computed; Treatment Outcome
• ISSN: 0890-5096; 1615-5947
• DOI: 10.1007/S10016-006-9073-4

We report a case of combined colon cancer and Clostridium septicum aortitis involving the suprarenal abdominal aorta with rupture. An 82-year-old male presented with fever, abdominal pain, and back pain associated with constipation. He was successfully treated by in situ aortic graft placement with polytetrafluroethylene and concomitant colon resection. Only 20 other cases of C. septicum mycotic aneurysm, aortitis, or aortic dissection have been reported. Concomitant surgical treatment for Clostridium aortitis or mycotic abdominal aortic aneurysm and colon cancer can be accomplished successfully in selected cases when the diagnosis of both conditions is made preoperatively.