Mycotic aneurysm of the abdominal aorta with retroperitoneal abscess: Successful endovascular repair Thomas A Koeppel, MD, Johannes Gahlen, MD, Steffen.

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Mycotic aneurysm of the abdominal aorta with retroperitoneal abscess: Successful endovascular repair Thomas A Koeppel, MD, Johannes Gahlen, MD, Steffen Diehl, MD, Ruediger L Prosst, MD, Christoph Dueber, MD Journal of Vascular Surgery Volume 40, Issue 1, Pages 164-166 (July 2004) DOI: 10.1016/j.jvs.2004.02.046

Fig 1 The patient was admitted to the hospital with severe abdominal and back pain and clinical signs of septicemia. A computed tomography scan showed an inflammatory retroperitoneal process of the para-aortic tissue with diffuse gas inclusion. The vessel wall was inflamed and an increase in diameter of the abdominal aorta could also be noted. Journal of Vascular Surgery 2004 40, 164-166DOI: (10.1016/j.jvs.2004.02.046)

Fig 2 The patient was readmitted to the hospital due to back pain and fever. Computed tomography scan showed the correctly placed customized straight Talent endovascular stent graft (Medtronic AVE, Inc) and a new abscess formation in the retroperitoneum. Journal of Vascular Surgery 2004 40, 164-166DOI: (10.1016/j.jvs.2004.02.046)

Fig 3 Following sufficient abscess drainage, the patient felt well and showed no clinical signs of a systemic inflammatory process. A magnetic resonance imaging performed 1 year later showed completely resolved retroperitoneal abscess. Journal of Vascular Surgery 2004 40, 164-166DOI: (10.1016/j.jvs.2004.02.046)