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Il Giornale Italiano di Radiologia Medica 2019 Maggio-Giugno;6(3):244-9

DOI: 10.23736/S2283-8376.19.00202-X

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English, Italian

Infectious pseudoaneurysm of the abdominal aorta caused by adjacent spondylodiscitis. Multidetector computed tomography findings

Elio BIGNARDI 1 , Francesco BACCARO 1, Daniela DE SANTO 1, Eugenio ROSSI 2, Carmela BRILLANTINO 2, Rosa FILIPPELLI 1, Cristiana PALUMBO 1, Massimo ZECCOLINI 3, Michele COPPOLA 1

1 Unit of Diagostics, Cotugno Hospital, Naples, Italy; 2 Unit of Radiology and Ultrasound, Pausillipon Hospital, AORN Santobono-Pausillipon, Naples, Italy; 3 Unit of Radiology, Santobono Hospital, AORN Santobono-Pausillipon, Naples, Italy


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Infectious pseudoaneurysms are rare. We report a case of a 49-year-old male, HCV+, HIV+, immunocompromised host, presenting with fever and low back pain. Multidetector computed tomography (MDCT) angiography revealed infectious pseudoaneurysm of the abdominal aorta, adjacent to spondylodiscitis of L3 and L4. MDCT is mandatory in the correct preoperative planning of the abdominal pseudoaneurysm. The patient was treated with placement of aortic stent. After a few days, unfortunately, he died of sudden rupture of the pseudoaneurysm.


KEY WORDS: Multidetector computed tomography; Aneurysm, false; Aneurysm, infected; Aorta, abdominal

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