Clinically occult isolated right iliac mycotic aneurysm with duodenal involvement in a diabetic elderly man: Multislice CT diagnosis

Sheung Fat Ko*, Fan Yen Lee, Shu Hang Ng, Tze Yu Lee, Yung Liang Wan

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

3 Scopus citations

Abstract

A diabetic old man presented with vague abdominal discomfort and intermittent tarry stools for 2 days and gastric ulcers with bleeding was diagnosed after endoscopy. Multislice computed tomography (MSCT) clearly depicted an isolated right iliac mycotic aneurysm with retroperitoneal extension and duodenal involvement. Timely operation and effective antibiotic treatment resulted in complete recovery. To our knowledge, this is the first report of an isolated mycotic iliac artery aneurysm (IAA) complicated with an aneurysmo-duodenal fistula induced by Klebsiella pneumoniae.

Original languageEnglish
Pages (from-to)129-131
Number of pages3
JournalClinical Imaging
Volume27
Issue number2
DOIs
StatePublished - 03 2003

Keywords

  • Arterioduodenal fistula
  • Iliac artery
  • Klebsiella pneumoniae
  • Multislice computed tomography
  • Mycotic aneurysm

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