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Author Gandini, Roberto ♦ Chiocchi, Marcello ♦ Maresca, Luciano ♦ Pipitone, Vincenzo ♦ Messina, Massimo ♦ Simonetti, Giovanni
Source United States Department of Energy Office of Scientific and Technical Information
Content type Text
Language English
Subject Keyword RADIOLOGY AND NUCLEAR MEDICINE ♦ ABDOMEN ♦ AORTA ♦ COMPUTERIZED TOMOGRAPHY ♦ NMR IMAGING ♦ RUPTURES ♦ ARTERIES ♦ BLOOD VESSELS ♦ BODY ♦ CARDIOVASCULAR SYSTEM ♦ DIAGNOSTIC TECHNIQUES ♦ FAILURES ♦ ORGANS ♦ TOMOGRAPHY
Abstract A male patient, 69 years old, presented with fever, leucocytosis, and persistent low back pain; he also had an abdominal aortic aneurysm (AAA), as previously diagnosed by Doppler UltraSound (US), and was admitted to our hospital. On multislice computed tomography (msCT), a large abdominal mass having no definite border and involving the aorta and both of the psoas muscles was seen. This mass involved the forth-lumbar vertebra with lysis, thus simulating AAA rupture into a paraspinal collection; it was initially considered a paraspinal abscess. After magnetic resonance imaging examination and culture of the fluid aspirated from the mass, no infective organisms were found; therefore, a diagnosisof chronically contained AAA rupture was made, and an aortic endoprosthesis was subsequently implanted. The patient was discharged with decreased lumbar pain. At 12-month follow-up, no evidence of leakage was observed. To our knowledge, this is the first case of endoprosthesis implantation in a patient, who was a poor candidate for surgical intervention due to renal failure, leucocytosis and high fever, having a chronically contained AAA ruptured simulatingspodilodiscitis abscess. Appropriate diagnosis and therapy resolved potentially crippling pathology and avoided surgical graft-related complications.
ISSN 01741551
Educational Use Research
Learning Resource Type Article
Publisher Date 2008-07-15
Publisher Place United States
Journal Cardiovascular and Interventional Radiology
Volume Number 31
Issue Number 2


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