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Emphysematous pyelonephritis with rare and severe iliac vascular complications: a case report and review.
Front Med (Lausanne)
January 2025
Department of Urology, Second People's Hospital of Yichang, Second People's Hospital of China Three Gorges University, Yichang, China.
Emphysematous pyelonephritis (EPN) is a rare but severe necrotizing infection often associated with diabetes, ureteral obstruction, and gas production in the renal parenchyma and perinephric area. This report describes a 54-year-old man with type 2 diabetes who presented with right lumbar pain and was diagnosed with EPN complicated by right ureteral calculi and perinephric gas accumulation. Despite initial improvement with fluid resuscitation, antibiotics, and drainage, inadequate blood glucose control led to a worsening of the infection, eventually involving the psoas major muscle and iliac vessels.
View Article and Find Full Text PDFRepair of a type II thoracoabdominal aortic aneurysm with three equal-sized renal arteries and bilateral common iliac aneurysms using a completely percutaneous transfemoral approach.
J Vasc Surg Cases Innov Tech
April 2025
Division of Vascular and Endovascular Surgery, University of Massachusetts Chan Medical School, Worcester, MA.
Health Discrimination or Design Flaw? The Challenge of Iliac Branch Devices for East Asian Aneurysm Patients.
Eur J Vasc Endovasc Surg
January 2025
Vascular and Endovascular Surgery Unit, University of Perugia, Perugia, Italy.
Trans-arterial omental flap protection for infected femoral artery aneurysm in a patient with Parkes-Weber syndrome.
J Vasc Surg Cases Innov Tech
February 2025
Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
We report a case of a 75-year-old man diagnosed with Parkes-Weber syndrome with an infected common femoral artery aneurysm secondary to chronic venous ulcers and groin infection. Given the symptomatic and rapid enlargement of the aneurysm, emergency aneurysmectomy and crossover femoro-femoral bypass were performed with an omental flap routed intraluminally through the aneurysm of the ipsilateral external iliac artery. The transarterial route enabled the short-cutting of the omental flap and the potential prevention of infection in the adjacent external iliac artery.
View Article and Find Full Text PDFRepair of multiple abdominopelvic aneurysms: is the open approach still valid? A case report.
Arch Peru Cardiol Cir Cardiovasc
December 2024
Surgical Center, Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru. Surgical Center Hospital Nacional Edgardo Rebagliati Martins Lima Peru.
Multiple Aneurysmal Arterial Disease (MAD) is an extremely rare arterial vascular condition and is produced by an abnormal alteration of smooth muscle cells and neutrophils, producing a multiple-aneurysmal degeneration. We present the case of a 36-year-old patient with a MAD in the cerebral territory and extremities with no surgical indication; however, with an aneurysm of the right inferior renal segmental artery, inferior mesenteric artery, left common iliac artery, and right internal iliac artery with surgical indication. An open approach with single-stage surgical repair, including graft interposition, bypass, exclusion, and vascular reimplantation, was performed.
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