[[[ Background: ]]] The majority of aorto-caval fistulae occur spontaneously, either as a result of rupture of an existing atherosclerotic abdominal aortic aneurysm into the vena cava or secondary to iatrogenic injuries during peripheral angiography or surgery. Aorto-caval fistula from an infected aortic aneurysm is a rare scenario, but potentially lethal. [[[ Methods: ]]] Case report and review of the literature. [[[ Case report: ]]] A 63-year-old female with diabetes mellitus and liver cirrhosis was admitted for intractable abdominal pain with rebound tenderness. A computed tomography scan demonstrated an abdominal aortic aneurysm and ill-defined peri-aortic fluid with air density and evidence of a fistula between the aorta and the inferior vena cava. Salmonella cholerasuis had been isolated from a blood culture at a previous admission. Urgent endovascular exclusion of the aorto-caval fistula was carried out, and the infra-renal abdominal aneurysm was repaired using a Cook Zenith TX2 aortic stent graft. She received parenteral ceftriaxone for four weeks. [[[ Conclusions: ]]] This case shows acceptable short-term results after endovascular repair of a Salmonella-infected aorto-caval fistula.
Peritonitis as Presentation of Aorto-Caval Fistula with Salmonella choleraesuis-Associated Abdominal Aortic Aneurysm
살모넬라 콜레라수이스와 관련된 복부 대동맥류의 대동맥-하대정맥 누공으로 인한 복막염
[Category] 살모넬라증,
[Article Type] journal-article
[Source] pubmed
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