CASE REPORTS   

International Angiology 2005 December;24(4):383-6

Copyright © 2005 EDIZIONI MINERVA MEDICA

language: English

Salmonella reinfection manifesting as a fistula between the duodenum and an aortic stump pseudoaneurysm

Taurino M. ¹, Rizzo L. ¹, Liberatore M. ², Maraglino C. ³, Verrienti T. ³

¹ Department of Vascular Surgery, S. Andrea Hospital, La Sapienza University of Rome, Rome, Italy 2 Department of Nuclear Medicine, Umberto I Polyclinic, La Sapienza University of Rome, Rome, Italy 3 Card. G. Panico Hospital, Tricase (Lecce), Italy

Despite the worldwide increase in Salmonella infections, a Salmonella infection of an aortic graft is an exceptional event. A Salmonella reinfection manifesting as a fistula between the duodenum and an aortic stump pseudoaneurysm 30 months after prosthetic excision, aortic ligature and extra-anatomic bypass for a Salmonella graft infection is a unique event. This unusual late complication described in this case report developed in 1 of the 5 patients whose Salmonella aortic graft infections have been previously reported. The reinfection causing septic aortitis responded to conventional surgery.