RESUMO
Infectious aneurysm is a severe entity of the aneurysmal pathology, due essentially to a bacterial agent. The most frequently implicated organisms are salmonella and staphylococci. We report the case of an infectious aneurysm of the two primitive iliac arteries with Salmonella typhimurium in a 70-year-old man.
Assuntos
Aneurisma Infectado/diagnóstico , Artéria Ilíaca/microbiologia , Infecções por Salmonella/diagnóstico , Salmonella typhimurium/isolamento & purificação , Idoso , Aneurisma Infectado/microbiologia , Aneurisma Infectado/patologia , Evolução Fatal , Humanos , Artéria Ilíaca/patologia , Masculino , Marrocos , Infarto do Miocárdio/microbiologia , Infarto do Miocárdio/patologia , Infecções por Salmonella/microbiologia , Infecções por Salmonella/patologiaRESUMO
BACKGROUND: A traumatic non-anastomotic pseudoaneurysm is a rare complication of an axillofemoral bypass graft. Fewer than 20 cases have been reported in the literature. Our case is unusual in that we report a double localization of this complication. CASE PRESENTATION: We report the case of a 60-year-old Arabic male patient who was diagnosed with two hematomas in the trajectory of his axillofemoral bypass secondary to a traumatism. The diagnosis of a non-anastomotic pseudoaneurysm was retained considering the results of a computed tomography angiography scan, which showed the double localization of the pseudoaneurysm. Surgical management consisted of flattening the pseudoaneurysm along with the interposition of a prosthetic segment. There were no postoperative complications and our patient was well 3 years after discharge. CONCLUSIONS: Non-anastomotic pseudoaneurysm is a rarely described complication of a axillofemoral bypass graft. To the best of our knowledge, a double localization has not been described in the literature before. Minimally invasive techniques as a treatment option are being widely used as an alternative to open repair.