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Mycotic Aortic Aneurysm As A Rare Case Of Constipation And Weight Loss.

Authors :
Chálim Rebelo C
Moura DB
Costa Santos V
Pereira JR
Duarte MA
Source :
Portuguese journal of cardiac thoracic and vascular surgery [Port J Card Thorac Vasc Surg] 2023 Jan 14; Vol. 29 (4), pp. 65-67. Date of Electronic Publication: 2023 Jan 14.
Publication Year :
2023

Abstract

Mycotic aortic aneurysm is a rare entity, manifesting with nonspecific symptoms of abdominal pain, fever, general malaise. We present a case of an 83-years-old-man, with hematemesis, generalized abdominal pain, and a six-month history of constipation, anorexia, and involuntary weight loss. Upper endoscopy revealed an erosion with oozing hemorrhage and hemostasis was performed. Later he developed a hemorrhagic shock. Abdominal computed tomography disclosed a 3,7x2,5x- 2,5cm aneurysm of the abdominal aorta with an aortoduodenal fistula, inducing an inflammatory plastron that encompassed the descending colon and duodenum. The inflammatory plastron prompted partial duodenal and colonic obstruction and led to an atypical presentation of an aortic aneurysm. Mycotic aneurysms complicated with aorto-enteric fistulas are potentially life-threatening conditions. We highlight the rarity of this case, as the clinical manifestations were prolonged and atypical. The goal is to drive awareness to maintain a high clinical suspicion, as early detection is critical to avoid a tragic outcome.

Details

Language :
English
ISSN :
2184-9927
Volume :
29
Issue :
4
Database :
MEDLINE
Journal :
Portuguese journal of cardiac thoracic and vascular surgery
Publication Type :
Academic Journal
Accession number :
36640290
Full Text :
https://doi.org/10.48729/pjctvs.241