This paper is only available as a PDF. To read, Please Download here.
Abstract
The purpose of this study was to review the computed tomography (CT) appearance of
mycotic aneurysm of the aorta caused by Salmonella infection. Eight patients were suggested to have mycotic aneurysm of the aorta by
clinical presentation of fever, abdominal or back pain, leukocytosis, and pulsatile
abdominal mass in addition to positive blood or tissue culture of salmonella. All
underwent plain radiography, abdominal sonography, and CT for confirmation. Five patients
died during hospitalization despite medical or surgical treatment. CT features of
mycotic aneurysm of aorta included (a) hazy aortic wall with rupture; (b) gas-forming
inflammation around the aneurysm; (c) retroperitoneal paraaortic fluid collection
and vertebral erosion; and (d) thrombus formation within a false lumen after aneurysmal
rupture. Because of its availability and noninvasiveness, CT is the major diagnostic
modality to use for Salmonella-related mycotic aneurysm.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Clinical ImagingAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- In situ prosthetic graft replacement for mycotic aneurysm of the aorta.Ann Thorac Surg. 1989; 47: 193-203
- Experience with infected aneurysms of the abdominal aortic aneurysms.Ann Surg. 1974; 179: 8-11
- Treatment of mycotic aneurysm of the aorta and its branches: the location determines the operative technique.Eur J Surg. 1992; 6: 419-423
- Salmonella cholerasuis bacteremia and mycotic aneurysm of abdominal aorta. Report of 5 cases.Chang Keng I Hsueh. 1989; 12: 115-120
- Primary mycotic aneurysms of the aorta.Arch Surg. 1967; 94: 758-765
- Mycotic aneurysms of the aorta.Cardiovasc Intervent Radiol. 1980; 3: 144-149
- Ultrasonic visualization of the posterior thoracic aorta in long axis: diagnosis of a saccular mycotic aneurysm.Chest. 1981; 79: 470-472
- Protean manifestations of mycotic aneurysms.AJR. 1978; 131: 1019-1025
- CT diagnosis of a mycotic aneurysm of the thoracoabdominal aorta.J Comput Assist Tomogr. 1984; 8: 1211-1212
- CT appearance of mycotic abdominal aortic aneurysms.J Comput Assist Tomogr. 1989; 13: 101-104
- Bacterial aortitis and mycotic aneurysm of aorta: report of 12 cases.Am J Pathol. 1955; 31: 821-835
- Bacteriologic and surgical determinants of survival in patients with mycotic aneurysms.J Vasc Surg. 1984; 1: 541-547
- Aortic mycotic abdominal aneurysm involving all visceral branches: excision and Dacron graft replacement.J Cardiovasc Surg. 1977; 18: 353-356
- Spontaneous abdominal aortic infections: essentials of diagnosis and management.Am Surg. 1983; 49: 37-50
- Mycotic aortic aneurysms: a reappraisal.Arch Surg. 1983; 118: 583-587
- Salmonella aortitis: a report of a successfully treated case with a comprehensive review of the literature.Arch Intern Med. 1993; 153: 517-525
- Spontaneous mycotic aneurysm of the abdominal aorta.J Comput Assist Tomogr. 1979; 3: 681-683
- CT and MRI of mycotic aneurysms of the abdominal aorta.J Comput Assist Tomogr. 1992; 16: 941-943
Article info
Publication history
Accepted:
August 20,
1994
Received in revised form:
July 20,
1994
Received:
April 6,
1994
Identification
Copyright
© 1996 Published by Elsevier Inc.
