AI Article Synopsis
- A 53-year-old male with a history of crescentic glomerulonephritis was admitted for abdominal pain and diagnosed with an abdominal aortic aneurysm.
- After initial repair using a tubular graft, the aneurysm tissue revealed a fungal infection, leading to complications and a second surgery involving graft removal and bypass.
- The patient was later readmitted with hematemesis, where further investigation found an aortoduodenal fistula, necessitating partial duodenal resection.
Article Abstract
A 53-year-old male who was being followed up by a nephrology department because of type V crescentic glomerulonephritis was admitted with abdominal pain to our clinic. He was diagnosed with abdominal aortic aneurysm after the examinations. Aortic repair with a tubular graft was performed. Pathological examination of the aneurysm tissue showed fungal hyphae. We started antifungal chemotherapy with amphotericin B. A separation of the graft body occurred, and the patient was reoperated on. An excision of the graft, ligation of the aorta, and axillobifemoral graft by-pass was performed. At the 15(th) month of his discharge, the patient was readmitted to the emergency room of our clinic suffering from hematemesis. According to the examinations, an aortoduodenal fistula was diagnosed, and we performed a partial duodenal resection and end-to-end duodenoduodenostomy. We want to share this unusual, interesting, and complicated case, operated on several times because of a mycotic aneurysm due to a fungal infection.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4379792 | PMC |
| http://dx.doi.org/10.5152/UCD.2014.2703 | DOI Listing |
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