Cryptogenic mycotic aneurysm of the superior mesenteric artery

Visceral artery aneurysms as a result of arterial degenerative disease are rare (0.1–2%), and superior mesenteric artery (SMA) accounts for 3.2% of all reported series. However, mycotic SMA aneurysms (SMAAs) are even rarer, and to the best of our knowledge, this is the first report of cryptogenic my...

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Autores principales: Kordzadeh, Ali, Kalyan, Jiten P., Jonas, Attila, Hanif, Muhammad A., Prionidis, Ioannis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2015
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4536334/
https://www.ncbi.nlm.nih.gov/pubmed/26276703
http://dx.doi.org/10.1093/jscr/rjv106
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author Kordzadeh, Ali
Kalyan, Jiten P.
Jonas, Attila
Hanif, Muhammad A.
Prionidis, Ioannis
author_facet Kordzadeh, Ali
Kalyan, Jiten P.
Jonas, Attila
Hanif, Muhammad A.
Prionidis, Ioannis
author_sort Kordzadeh, Ali
collection PubMed
description Visceral artery aneurysms as a result of arterial degenerative disease are rare (0.1–2%), and superior mesenteric artery (SMA) accounts for 3.2% of all reported series. However, mycotic SMA aneurysms (SMAAs) are even rarer, and to the best of our knowledge, this is the first report of cryptogenic mycotic aneurysm of SMA by Enterococcus faecalis (EF). We report a case of 77-year-old man with 6-week history of supra pubic/left iliac fossa pain, weight loss and fever. The computed tomography demonstrated an incidental finding of 4.4 × 3-cm SMAA with no primary foci. The subsequent serology and specimen confirmed EF. Aneurysmectomy without bypass grafting along with antimicrobial therapy resulted in full recovery of the patient.
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spelling pubmed-45363342015-08-17 Cryptogenic mycotic aneurysm of the superior mesenteric artery Kordzadeh, Ali Kalyan, Jiten P. Jonas, Attila Hanif, Muhammad A. Prionidis, Ioannis J Surg Case Rep Case Reports Visceral artery aneurysms as a result of arterial degenerative disease are rare (0.1–2%), and superior mesenteric artery (SMA) accounts for 3.2% of all reported series. However, mycotic SMA aneurysms (SMAAs) are even rarer, and to the best of our knowledge, this is the first report of cryptogenic mycotic aneurysm of SMA by Enterococcus faecalis (EF). We report a case of 77-year-old man with 6-week history of supra pubic/left iliac fossa pain, weight loss and fever. The computed tomography demonstrated an incidental finding of 4.4 × 3-cm SMAA with no primary foci. The subsequent serology and specimen confirmed EF. Aneurysmectomy without bypass grafting along with antimicrobial therapy resulted in full recovery of the patient. Oxford University Press 2015-08-14 /pmc/articles/PMC4536334/ /pubmed/26276703 http://dx.doi.org/10.1093/jscr/rjv106 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2015. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Reports
Kordzadeh, Ali
Kalyan, Jiten P.
Jonas, Attila
Hanif, Muhammad A.
Prionidis, Ioannis
Cryptogenic mycotic aneurysm of the superior mesenteric artery
title Cryptogenic mycotic aneurysm of the superior mesenteric artery
title_full Cryptogenic mycotic aneurysm of the superior mesenteric artery
title_fullStr Cryptogenic mycotic aneurysm of the superior mesenteric artery
title_full_unstemmed Cryptogenic mycotic aneurysm of the superior mesenteric artery
title_short Cryptogenic mycotic aneurysm of the superior mesenteric artery
title_sort cryptogenic mycotic aneurysm of the superior mesenteric artery
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4536334/
https://www.ncbi.nlm.nih.gov/pubmed/26276703
http://dx.doi.org/10.1093/jscr/rjv106
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