Limits...
Psoas abscess complicating endovascular aortic aneurysm repair.

Moussa O, Sreedharan L, Poels J, Ojimba T - J Surg Case Rep (2012)

Bottom Line: Aortic stent graft infection is a rare but serious complication associated with high mortality.The abscess was managed with percutaneous drainage and antibiotics.We review the available literature and discuss the merits of different management strategies.

View Article: PubMed Central - PubMed

Affiliation: Cumberland Infirmary, Cumbria, UK.

No MeSH data available.


Related in: MedlinePlus

A 50 mm maximum retroperitoneal collection situated between the right kidney and the right iliac vessels
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC3649653&req=5

fig3: A 50 mm maximum retroperitoneal collection situated between the right kidney and the right iliac vessels

Mentions: Four weeks following discharge the patient was re-admitted with feeling increasingly unwell, recurrent pyrexia, loss of appetite and mild shortness of breath on exertion. Physical examination was unremarkable except for a temperature of 38.3 centigrade. Blood tests on admission showed Hb 11.4 g/dl (11.5-16.0 g/dl), white cell count 13.1×109/L (4-9.2 x 109/L) and CRP 68mg/L (<3 mg/L). Contrast enhanced CT scan (Fig. 2,3) showed a 50 mm maximum retroperitoneal collection situated between the right kidney and the right iliac vessels. It contained a few loculi of gas. A diagnosis of postoperative right psoas abscess was made. The patient was started on intravenous broad spectrum antibiotics – Tazocin (Piperacillin+ Tazobactam) and Metronidazole. CT guided drainage was carried out using a 10 French gauge pigtail catheter locked pigtail (Meditech Flexima regular all-purpose drainage catheter sets with locking pigtail (Boston Scientific)) (Fig. 4). The isolation of E. coli from the collection with negative Hemocultures suggested a bowel source for the infection but no actual breach was demonstrable. The bowel surgeons ruled out colonic pathology.


Psoas abscess complicating endovascular aortic aneurysm repair.

Moussa O, Sreedharan L, Poels J, Ojimba T - J Surg Case Rep (2012)

A 50 mm maximum retroperitoneal collection situated between the right kidney and the right iliac vessels
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3649653&req=5

fig3: A 50 mm maximum retroperitoneal collection situated between the right kidney and the right iliac vessels
Mentions: Four weeks following discharge the patient was re-admitted with feeling increasingly unwell, recurrent pyrexia, loss of appetite and mild shortness of breath on exertion. Physical examination was unremarkable except for a temperature of 38.3 centigrade. Blood tests on admission showed Hb 11.4 g/dl (11.5-16.0 g/dl), white cell count 13.1×109/L (4-9.2 x 109/L) and CRP 68mg/L (<3 mg/L). Contrast enhanced CT scan (Fig. 2,3) showed a 50 mm maximum retroperitoneal collection situated between the right kidney and the right iliac vessels. It contained a few loculi of gas. A diagnosis of postoperative right psoas abscess was made. The patient was started on intravenous broad spectrum antibiotics – Tazocin (Piperacillin+ Tazobactam) and Metronidazole. CT guided drainage was carried out using a 10 French gauge pigtail catheter locked pigtail (Meditech Flexima regular all-purpose drainage catheter sets with locking pigtail (Boston Scientific)) (Fig. 4). The isolation of E. coli from the collection with negative Hemocultures suggested a bowel source for the infection but no actual breach was demonstrable. The bowel surgeons ruled out colonic pathology.

Bottom Line: Aortic stent graft infection is a rare but serious complication associated with high mortality.The abscess was managed with percutaneous drainage and antibiotics.We review the available literature and discuss the merits of different management strategies.

View Article: PubMed Central - PubMed

Affiliation: Cumberland Infirmary, Cumbria, UK.

No MeSH data available.


Related in: MedlinePlus