Mycotic Aneurysm with Iliac Artery-Colonic Fistula

Although mycotic (infected) aneurysms are uncommon, they can affect any artery. The most frequently involved vessel is the aorta as well as femoral and cerebral arteries. A vascular-colonic fistula from infected aneurysms is even rarer, which remains a challenge for diagnosis and treatment. In this...

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Published inCase reports in medicine Vol. 2022; pp. 3250749 - 5
Main Authors Viet Dung, Le, Mai Hien, Ma, Bich Nguyet, Dang-Thi, Tra My, Thieu-Thi, Minh Duc, Nguyen
Format Journal Article
LanguageEnglish
Published United States Hindawi 04.03.2022
John Wiley & Sons, Inc
Hindawi Limited
Subjects
Abdomen
Aneurysms
Antibacterial agents
Aorta
Arteries
Care and treatment
Case Report
Case reports
Colon
Diagnosis
Fistula
Fistulae
Health aspects
Medical imaging
Methicillin
Metronidazole
Mortality
Mycotic aneurysm
Veins & arteries
Vietnam
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Summary:Although mycotic (infected) aneurysms are uncommon, they can affect any artery. The most frequently involved vessel is the aorta as well as femoral and cerebral arteries. A vascular-colonic fistula from infected aneurysms is even rarer, which remains a challenge for diagnosis and treatment. In this case report, we aimed to illustrate an 89-year-old man presenting initially with an aneurysm of the right common iliac artery. Forty days later, this lesion was infected and produced fresh blood in the rectum and sigmoid colon observed by colonoscopy. The final diagnosis of this case was a right common iliac artery aneurysm-colonic fistula due to infection. The patient was successfully diagnosed and treated with surgery at our hospital.
Bibliography:Academic Editor: Simon Ching Shun Kao
ISSN:1687-9627
1687-9635
DOI:10.1155/2022/3250749