Abstract
Pseudoaneurysms of the common iliac artery caused by Brucellosis are exceedingly uncommon. Infected common iliac artery pseudoaneurysms, particularly those caused by brucellosis, are more difficult to diagnose and cure than general pseudoaneurysms. The risk of mortality is significantly high in this condition. Nonsurgical treatment of a brucellosis-induced common iliac artery pseudoaneurysm is futile, and it should be operated on as soon as feasible. Long-term and multi-course antibacterial therapy with combination antibiotics is required. For the treatment of Brucella-infected pseudoaneurysms, endovascular surgery can be both effective and safe.
Highlights
Brucellosis is a zoonotic infection caused by bacteria of the genus Brucella (Wang et al, 2017; Amjadi et al, 2019; Bagheri Nejad et al, 2020; Iqbal et al, 2020)
Pseudoaneurysms produced by brucellosis are uncommon in clinical practice
Diagnosing and treating infected common iliac artery pseudoaneurysms, those produced by Brucella, is more challenging than general pseudoaneurysms (Chiyoya et al, 2019)
Summary
Brucellosis is a zoonotic infection caused by bacteria of the genus Brucella (Wang et al, 2017; Amjadi et al, 2019; Bagheri Nejad et al, 2020; Iqbal et al, 2020). On occasion, food-borne diseases are transferred through the digestive tract and infections are transmitted through the respiratory tract via inhalation of contaminated droplets and dust; humans are generally susceptible to Brucella. Endocarditis and pericarditis are the most prevalent disease symptoms of the circulatory system, while pseudoaneurysms involving the left common iliac artery are extremely rare. A pseudoaneurysm involving the common iliac artery that is infected is unstable. It is frequently referred to as an “untimed bomb” implanted in the body that is likely to “explode” at any time, referring to aneurysm rupture and hemorrhage. Severe bleeding can result in hemorrhagic shock and lead to death. We report a rare instance of pseudoaneurysm affecting the left common iliac artery due to brucellosis and detail the treatment of this patient.
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