Abstract
Managing isolated left internal iliac artery mycotic aneurysm
Highlights
We report a case of isolated mycotic iliac artery aneurysm (IIAA) and the management of the case will be discussed
It showed a ruptured atherosclerotic plaque with a surrounding fluid collection and multiple air pockets (Figure1). His blood culture revealed Salmonella species, which was sensitive to Ceftriaxone. His Erythrocyte Sedimentation Rate (ESR) and C-Reactive Protein (CRP) level were elevated on presentation with the value of 120 and 450 respectively
A repeat Computerized Tomography Angiogram (CTA) of the vessel was carried out later after 2 weeks post-embolization revealed similar collection remained with total occlusion of an aneurysm and left internal iliac artery
Summary
This incidence of isolated internal iliac artery aneurysm (IIIAA) is around 0.04% of all aortoiliac aneurysmal disease [1]. It has been reported that 40% of all cases present with aneurysmal rupture [2]. Investigated for possible diverticulitis, a Computerized Tomography Angiogram (CTA) was done and noted left saccular IIAA. It showed a ruptured atherosclerotic plaque with a surrounding fluid collection and multiple air pockets (Figure). It showed a ruptured atherosclerotic plaque with a surrounding fluid collection and multiple air pockets (Figure1) His blood culture revealed Salmonella species, which was sensitive to Ceftriaxone. His Erythrocyte Sedimentation Rate (ESR) and C-Reactive Protein (CRP) level were elevated on presentation with the value of 120 and 450 respectively
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