Ruptured Mycotic Salmonella Aortic Aneurysm Treated with Combined Cefotaxime Antibiotic and Staged Surgical Management

Humphrey, Robert W.; Vercoutere, Ann L.; Abu-Dalu, Joseph
October 1983
Angiology;Oct1983, Vol. 34 Issue 10, p674
Academic Journal
A case of salmonella infrarenal aortic aneurysm that ruptured and was treated with staged operative procedures and a highly effective antibiotic is reported and analyzed. An emergency situation with a ruptured abdominal aortic aneurysm required prompt surgical intervention with an aortobifemoral graft insertion. In the immediate postoperative period it was realized that a prosthetic graft was placed in the bed of a mycotic aneurysm. The patient had significant arteriosclerotic occlusive disease limiting the distal anastomotic site to the common femorals. Interoperatively the superficial femorals were noted to be occluded chronically. Consequently, revascularization via an extraanatomical bypass after aortobifemoral graft removal was more complex. This was managed in a staged delayed fashion, while suppressing the infecting organism with Cefotaxime. The details of this complex situation are described within.


Related Articles

  • Local Hypothermia with Ice Slush for Kidney Protection During Suprarenal Aortic Cross-Clamping. Report of Two Cases. Olearchyk, Andrew S. // Vascular Surgery;Jul/Aug1992, Vol. 26 Issue 6, p515 

    Focuses on the application of a local kidney protection with ice slush when suprarenal aortic cross-clamping was necessary for a safe resection of an abdominal aortic aneurysm (AAA). Symptoms and diagnosis of AAA; Treatment administered to the patients; Patient outcomes.

  • Transition from Classic Aortic Dissection to Aortic Intramural Hemorrhage. Yoshino, Hideaki; Kachi, Eisei; Matsue, Shuhei; Yotsukura, Masayuki; Ishikawa, Kyozo // Angiology;Nov2000, Vol. 51 Issue 11, p971 

    Presents a case study of a man diagnosed with Stanford type A aortic dissection with false lumen. Use of computed tomography in the diagnosis; Lack of transition to intramural hemorrhage type of aortic dissection; Consideration of the relationship between the types of aortic dissection.

  • Abdominal pain? Consider abdominal aortic aneurysm.  // Geriatrics;Jun94, Vol. 49 Issue 6, p21 

    Focuses on the misdiagnosis of the symptoms of a ruptured abdominal aortic aneurysm (AAA). Reason for the misdiagnosis; Diagnostic examinations for AAA; Study findings; Chance of survival when treatment is delayed and shock develops.

  • Traumatic aortic dissection associated with riding a roller coaster. Springer, Andrew N.; Guletz, Maribeth A.; Sai-Sudhakar, Chittoor B.; Papadimos, Thomas J. // International Journal of Critical Illness & Injury Science;Jan-Mar2013, Vol. 3 Issue 1, p95 

    A letter to the editor about a case of traumatic aortic dissection in a patient is presented.

  • Simple hypertension alone does not justify screening for abdominal aortic aneurysm.  // Modern Medicine;Jan97, Vol. 65 Issue 1, p57 

    Presents an abstract of the study `Screening for abdominal aortic aneurysms in a hypertensive patient population,' by G. Simon, D. Nordgren et al published in the October 14, 1996 issue of the `Archives of Internal Medicine' journal.

  • Abdominal Aortic Aneurysm (AAA): Evaluation and Management by a DC. Sherman, Paul R.; Lehman, James J. // ACA News (American Chiropractic Association);Jul2008, Vol. 4 Issue 7, p24 

    Objective: To discuss the diagnosis, treatment and co-management of a patient who presented in a chiropractic office with post-traumatic lower-back pain and an incidental finding of an abdominal aortic aneurysm (AAA). Clinical Features: A 56-year-old male patient presented with pain and spasm in...

  • A prudent pause. Cubberley, Robert B. // Cortlandt Forum;11/25/99, Vol. 12 Issue 11, p110 

    Presents a case of a 45-year-old patient with a dissecting aortic aneurysm. Clinical presentation; Findings of physical examination; Diagnosis.

  • Abdominal Aortic Aneurysms: Results From a Community Hospital. Chiu, James S. P. // Vascular Surgery;Jul/Aug1982, Vol. 16 Issue 4, p260 

    The results of the management of patients with confirmed abdominal aortic aneurysms in a community general hospital over a 5-year period were reviewed. The patients were grouped according to the presentation of their aneurysms into 3 categories: asymptomatic, symptomatic, and ruptured....

  • Adoption of an innovation to repair aortic aneurysms at a Canadian hospital: a qualitative case study and evaluation. Danjoux, Nathalie M.; Martin, Douglas K.; Lehoux, Pascale N.; Harnish, Julie L.; Zlotnik Shaul, Randi; Bernstein, Mark; Urbach, David R. // BMC Health Services Research;2007, Vol. 7, p182 

    Background: Priority setting in health care is a challenge because demand for services exceeds available resources. The increasing demand for less invasive surgical procedures by patients, health care institutions and industry, places added pressure on surgeons to acquire the appropriate skills...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics