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Massive retroperitoneal aortoiliac aneurysm rupture revealing chronic Q fever  Lin-Pierre Zhao, MD, Quentin Pellenc, MD, Nicoletta Pasi, MD, Khadija Benali,

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Presentation on theme: "Massive retroperitoneal aortoiliac aneurysm rupture revealing chronic Q fever  Lin-Pierre Zhao, MD, Quentin Pellenc, MD, Nicoletta Pasi, MD, Khadija Benali,"— Presentation transcript:

1 Massive retroperitoneal aortoiliac aneurysm rupture revealing chronic Q fever 
Lin-Pierre Zhao, MD, Quentin Pellenc, MD, Nicoletta Pasi, MD, Khadija Benali, MD, Lydia Deschamps, MD, Karim Sacre, MD, PhD  Journal of Vascular Surgery Cases  Volume 2, Issue 1, Pages 1-3 (March 2016) DOI: /j.jvsc Copyright © 2016 The Authors Terms and Conditions

2 Fig 1 A, Multiplanar computed tomography (CT) coronal reconstruction showed a left retroperitoneal rupture of a large aneurysm involving the infrarenal aorta and both common iliac arteries. Spread calcifications of arterial wall suggestive of atherosclerosis were seen. B, Transesophageal echocardiography showed a vegetative mass on the sigmoid cusp of the aortic valve (arrow). C, 18F-Fluorodeoxyglucose positron emission tomography combined with CT showed an abnormal focal uptake (maximum standardized uptake value = 2.9) in the aortic valve plane (arrow). D, Microscopic analysis of abdominal and iliac aneurysm (left, original magnification ×5) showed an intima-media inflammatory mononuclear infiltrate (top right, ×200) well separated from a lipid-rich necrotic core and fibrosis (bottom right, ×100). Journal of Vascular Surgery Cases 2016 2, 1-3DOI: ( /j.jvsc ) Copyright © 2016 The Authors Terms and Conditions

3 Fig 2 Axial computed tomography (CT) scan showing the large retroperitoneal hematoma at admission (A) and its complete resorption 6 months after surgery (B). No evidence for infection of the prosthetic graft was seen (C). Journal of Vascular Surgery Cases 2016 2, 1-3DOI: ( /j.jvsc ) Copyright © 2016 The Authors Terms and Conditions

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