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CASE REPORT article
Front. Cardiovasc. Med.
Sec. General Cardiovascular Medicine
Volume 11 - 2024 |
doi: 10.3389/fcvm.2024.1497561
This article is part of the Research Topic Case Reports in General Cardiovascular Medicine: 2024 View all articles
Complicated Mycotic Saccular Aneurysm of the Infra-Renal Abdominal Aorta with Infected Retroperitoneal Hematoma: A Clinical Case Report
Provisionally accepted
Azat Chinaliyev
*
Yerbol Jussubaliyev
*
Didar Khassenov
*
Dastan Sabyruly
*
Yedige Shaimerden
*
Aitkul Salimgerey
*
Maksat Kapyshev
*
Rustembek Aleushinov
*
Gulfairus Yessenbayeva
Irlan Sagandykov
*
Tokan Sultanaliyev
*- National Research Oncology and Transplantation Center, Nur-sultan, Kazakhstan
Background: Rupture of an abdominal aortic aneurysm (AAA) is a life-threatening emergency, with untreated cases nearing a 100% mortality rate. This case presents a rare complication of AAA rupture with an infected retroperitoneal hematoma, emphasizing the importance of timely diagnosis and a multidisciplinary approach. Case Presentation: A 59-year-old male presented with lower back pain, fever, and difficulty moving, persisting for three weeks. Imaging revealed a saccular infra-renal AAA rupture with an infected retroperitoneal hematoma. Emergency surgery included extracorporeal subclavianfemoral bypass and aneurysm resection. Despite intraoperative complications, the patient recovered after 16 days in intensive care and was discharged in satisfactory condition. Follow-up CT one month later showed functioning bypasses and clinical improvement. Conclusion: This case illustrates the critical need for early diagnosis and coordinated surgical intervention in complex AAA ruptures complicated by infection. Timely multidisciplinary treatment is crucial to prevent further complications and improve patient outcomes.
Keywords: Abdominal Aortic Aneurysm, aneurysm rupture, retroperitoneal hematoma, Infection, bypass surgery, Hybrid surgical procedures
Received: 17 Sep 2024; Accepted: 05 Nov 2024.
Copyright: © 2024 Chinaliyev, Jussubaliyev, Khassenov, Sabyruly, Shaimerden, Salimgerey, Kapyshev, Aleushinov, Yessenbayeva, Sagandykov and Sultanaliyev. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Azat Chinaliyev, National Research Oncology and Transplantation Center, Nur-sultan, Kazakhstan
Yerbol Jussubaliyev, National Research Oncology and Transplantation Center, Nur-sultan, Kazakhstan
Didar Khassenov, National Research Oncology and Transplantation Center, Nur-sultan, Kazakhstan
Dastan Sabyruly, National Research Oncology and Transplantation Center, Nur-sultan, Kazakhstan
Yedige Shaimerden, National Research Oncology and Transplantation Center, Nur-sultan, Kazakhstan
Aitkul Salimgerey, National Research Oncology and Transplantation Center, Nur-sultan, Kazakhstan
Maksat Kapyshev, National Research Oncology and Transplantation Center, Nur-sultan, Kazakhstan
Rustembek Aleushinov, National Research Oncology and Transplantation Center, Nur-sultan, Kazakhstan
Irlan Sagandykov, National Research Oncology and Transplantation Center, Nur-sultan, Kazakhstan
Tokan Sultanaliyev, National Research Oncology and Transplantation Center, Nur-sultan, Kazakhstan
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