Abstract
A 47 year old man presented with fever and back pain. Laboratory tests showed an elevated leukocyte count and CRP. 18F-Fluorodeoxyglucose positron emission tomography (18F-FDG-PET) showed increased 18F-FDG uptake in the abdominal aortic wall (panel A). Computed tomography (CT) showed a ruptured abdominal aortic aneurysm complicated by aortocaval fistula (panel B); there was no evidence of high output cardiac failure. The patient underwent emergency surgery: aneurysm resection, synthetic vascular graft placement (Silver Graft, B Braun, Germany), graft derived patch repair of the inferior vena cava, and omentopexy. Blood and aortic wall cultures were positive for Salmonella typhimurium. The patient was treated with prolonged antibiotic therapy.
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