Abstract
A 75-year-old man with infection in a pre-existing abdominal aortic aneurysm secondary to an appendiceal abscess is described. A single similar case has been reported in the English literature. Appendicitis was diagnosed at exploration. In both cases, the appendix was located in a retroileal position in the retroperitoneum, thereby allowing tracking of the abscess to the aneurysm wall. Resection and extra-anatomic vascular reconstruction were curative.
Get full access to this article
View all access options for this article.
References
1.
Reddy
D
. Surgical treatment of infected abdominal aortic aneurysm . In: Stanley, Ernst. Current Therapy Vascular Surgery . 1991 ; 272 –6 .
2.
Jewkes
AJ
,
Black
J
. Infection of an abdominal aortic aneurysm from an appendix abscess . J Cardiovasc Surg (Torino)
1989 ; 30 : 870 –2 .
3.
Bussetil
RW
,
Reese
W
,
Baker
JD
,
Wilson
SE
. Pathogenesis of aortoduodenal fistula, experimental and clinical correlates . Surgery
1979 ; 85 : 1 –12 .
4.
Gozzetti
G
. Aorto-enteric fistulae: spontaneous and after aorto-iliac operations . J Cardiovasc Surg (Torino)
1984 ; 25 : 420 –6 .
5.
Perdue
GD
,
Stewart
MT
. Management of primary aortic aneurysmal enteric fistula . In: Stanley, Ernst. Current Therapy Vascular Surgery . 1991 : 300 –1 .
6.
Reddy
DJ
,
Ernst
CB
. Infected aneurysms . In:
Rutherford
RB
, ed. Vascular Surgery . 3rd ed.
Philadelphia : W.B. Saunders , 1989 ; 983 –96 .
7.
Robinson
JA
,
Johansen
K
. Aortic sepsis: is there a role for in situ graft reconstruction?
J Vasc Surg
1991 ; 13 : 677 –84 .
8.
Chan
FY
,
Crawford
ES
,
Coselli
JS
,
Safie
HJ
,
William
TW
. In situ prosthetic graft replacement for mycotic aneurysm of the aorta . Ann Thorac Surg
1989 ; 47 : 193 –203 .