CC BY 4.0 · Aorta (Stamford) 2016; 04(04): 131-133
DOI: 10.12945/j.aorta.2016.16.011
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Rapidly Expanding Infectious Aortic Aneurysm Caused by Perforated Colon Cancer

Taufiek Konrad Rajab
1   Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts, USA
,
Daniel E. Rinewalt
1   Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts, USA
,
Michael Belkin
1   Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts, USA
,
Joel E. Goldberg
1   Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts, USA
,
Haiyang Zhou
2   Changzheng Hospital and Second Military Medical University, Shanghai, People’s Republic of China
› Author Affiliations
Further Information

Publication History

16 March 2016

15 July 2016

Publication Date:
24 September 2018 (online)

Abstract

A 50-year-old male smoker presented with a perforated colon cancer and underwent an extended right colectomy. Feculent peritonitis was treated with empiric antibiotics. Postoperatively he developed severe back pain and rising leukocytosis. Serial computed tomography revealed a rapidly expanding infrarenal aortic aneurysm. He was urgently treated with extra-anatomic bypasses and aortic resection. No organisms grew from the resected aortic wall. He was discharged in stable condition, and the ileostomy was reversed 9 months later.

 
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