The Teaching Point

Mycotic pseudoaneurysm is a rare vascular pathology that can become thrombosed and mimic other pathologies creating a diagnostic dilemma which can lead to wrong management and result in devastating outcomes (e.g. rupture). Hence, we should always entertain the possibility of a vascular pathology within our differentials when confronted with a complex peri-aortic mass in order to avoid inappropriate management and reduce the risk of mortality.






Bookmark and Share

From the manuscript

Mycotic pseudoaneurysm of the aortic isthmus secondary to salmonella infection causing a diagnostic dilemma

Free full text article: Mycotic pseudoaneurysm of the aortic isthmus secondary to salmonella infection  causing a diagnostic dilemma

Abstract
Mycotic pseudoaneurysms usually arise from an infectious arteritis or mycotic aneurysms secondary to weakening and destruction of the arterial wall resulting in a contained rupture. We report a case of a mycotic pseudoaneurysm affecting the aortic isthmus of the thoracic aorta which is an extremely rare infection. To our knowledge no case report of mycotic pseudoaneurysm of the aortic isthmus secondary to salmonella infection has thus far been described. The specific case we present is also unique in that it posed a diagnostic imaging dilemma where the initial imaging revealed a periaortic mass which could not be accurately characterized and only on subsequent imaging reveal itself to be a thrombosed mycotic pseudoaneurysm. We hope that our case report highlights to the medical community the high degree of suspicion one should have regarding pseudoaneurysms when dealing with a complex mass intimately related to a vascular structure.






References



1. Jesinger RA, Thoreson AA, Lamba R. Abdominal and Pelvic Aneurysms and Pseudoaneurysms: Imaging Review with Clinical, Radiologic, and Treatment Correlation. RadioGraphics; vol 33, no
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


2. Saad NEA, Saad WEA, Davies MG, Waldman DL, Fultz PJ, Rubens DJ. Pseudoaneurysms and the Role of Minimally Invasive Techniques in Their Management. RadioGraphics; vol 25, no
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


3. Szabados SE, Varady E, Göbölös L. Luetic mycotic pseudoaneurysm of the aortic isthmus. Eur Heart J; vol
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


4. Gonda RL, Gutierrez OH, Azodo MV. Mycotic aneurysms of the aorta: radiologic features. Radiology; vol 168, no
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. Bowden DJ, Hayes PD, Sadat U, Choon See T. Mycotic Pseudoaneurysm of the Superficial Femoral Artery in a Patient with Cushing Disease: Case Report and Literature Review. Vascular; vol 17, no
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Sueyoshi E, Sakamoto I, Nakashima K, Minami K, Hayashi K. Visceral and peripheral arterial pseudoaneurysms. Am J
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


7. Stent VC, Warshauer DM, Archer RK, Selzman CH. Case 115?: Aortic Pseudoaneurysm from Penetrating Superior Vena Cava Stent. Radiology; vol 243, no
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


8. Guo Y, Bai Y, Yang C, Wang P, Gu L. Mycotic aneurysm due to Salmonella species: clinical experiences and review of the literature. Brazilian J Med
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


9. Lee WK. Infected (Mycotic) Aneurysms: Spectrum of Imaging Appearances and Management. RadioGraphics; vol 28, no
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


10. Bin Hsu R, Lin FY, Chen RJ, Hsueh PR, Wang SS. Antimicrobial drug resistance in salmonella-infected aortic aneurysms. Ann Thorac
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


11. Fisk M. Mycotic aneurysms: A case report, clinical review and novel imaging strategy. QJM; vol 105, no
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


12. Pirvu A, Bouchet C, Garibotti FM, Haupert S, Sessa C. Mycotic aneurysm of the internal carotid artery. Ann Vasc
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


13. Kim YJ. Pseudoaneurysm of the popliteal artery mimicking tumorous condition. J Korean Surg
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


14. Kaczynski J. Superior mesenteric artery branch pseudoaneurysm mimicking an acute appendicitis. BMJ Case Rep; vol 2012, pp
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


15. Mehmet A, Onur S, Mete G, Vedat B, Hacer B. Late popliteal artery pseudoaneurysm mimicking deep vein thrombosis?: Two case reports. Turkish Journal of Vasc Surgery; vol 27, no
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


16. Huang SW, Wei TS, Liu SY, Wang WT. Spontaneous totally thrombosed pseudoaneurysm mimicking a tendon tear of the wrist. Orthopedics; vol 33, no
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


17. Lee KH, Ko EY, Han BK, Shin JH, Kang SS, Hahn SY. Thrombosed pseudoaneurysm of the breast after blunt trauma. J Ultrasound Med; vol
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


18. Kapoor BS, Haddad HL, Saddekni S, Lockhart ME. Diagnosis and Management of Pseudoaneurysms: An Update, Curr. Probl Diagn
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


19. Ting ACW, Cheng SWK, Ho P, Poon JTC, Kong H. Endovascular stent graft repair for infected thoracic aortic pseudoaneurysms - a durable option??. J Vasc Surg; pp 701-705, 2005
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


20. Greenhalgh PRM, Campus CC. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm ( EVAR trial 1 ), 30-day operative mortality results?: randomised controlled trial. Lancet; pp 843-848, 2004
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


21. Buskens E, DE Grobbee, Blankensteijn JD. A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med; pp 1607-1618, 2004
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


22. Berchtold C, Eibl C, Seelig MH, Jakob P, Schönleben K. Endovascular treatment and complete regression of an infected abdominal aortic aneurysm. J Endovasc
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


23. Stanley BM, Semmens JB, Lawrence-Brown MMD, Denton M, Grosser D. Endoluminal Repair of Mycotic Thoracic Aneurysms. J Endovasc
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


24. Koeppel TA, Gahlen J, Diehl S, Prosst RL, Dueber C. Mycotic aneurysm of the abdominal aorta with retroperitoneal abscess: Successful endovascular repair. J Vasc
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


25. Beland MD, Soares GM, Dubel GJ, Forte MP, Murphy TP. Endovascular repair of a thoracic aorta mycotic pseudoaneurysm in a patient with history of Bacteroides Fragilis sepsis and leprosy. J Vasc
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine




Search for articles with similar topics:

Keyword search:

1. Mycotic pseudoaneurysm

2. salmonella

3. aortic arch

4. aortic isthmus

5. aneurysm

6. CT chest

7. infection

8. CT aortogram

9. endovascular repair


This article belongs to the Chest section.


Search for more in the Internet

Peer-reviewed Radiology Search




Discuss it!

Bookmark and Share




© Journal of Radiology Case Reports - The Interactive Radiology Journal
Affiliated journal of Radiolopolis - The International Radiology Community


The Journal of Radiology Case Reports