Infected Abdominal Aortic Aneurysm After Transrectal Ultrasound-Guided Biopsy of the Prostate: A Report of Two Cases.

Abstract:

:Primary infected abdominal aortic aneurysm (AAA) is an uncommon presentation which can be associated with significant morbidity and mortality. In this report, we present 2 cases of infected AAAs less than 10 days after a transrectal ultrasound-guided (TRUS) prostate biopsy. A 63-year-old male presenting with sepsis and back pain 9 days after TRUS biopsy was found to have a 27-mm ectatic abdominal aorta which expanded to 59 mm in the course of a week, despite antibiotic therapy. He underwent successful surgical excision of the infected aortic aneurysm and reconstruction using a vein. A 55-year-old male presented similarly, 7 days after prostate biopsy with a 60-mm aortic aneurysm. His aneurysm ruptured 2 days before planned intervention-he did not survive an emergency repair. In both cases, aortic tissue biopsies confirmed growth of Escherichia coli. Preexistence of an aortic aneurysm was not known in either case as neither patient had imaging of the abdominal aorta. We postulate the pathophysiology was due to hematogenous spread.

journal_name

Ann Vasc Surg

authors

Al-Ani HH,Khashram M,Dean A,Bourchier R,Bhamidipaty V,Hill A

doi

10.1016/j.avsg.2019.05.021

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

469.e1-469.e4

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(19)30516-3

journal_volume

61

pub_type

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    doi:10.1007/s100169910036

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