Mycotic Abdominal Pseudoaneurysm due to Psoas Abscess after Spinal Fusion
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 443-446, 2015.
Artigo
em Inglês
| WPRIM
| ID: wpr-95463
ABSTRACT
A 36-year-old man, who had undergone thoracoscopic anterior spinal fusion using the plate system and posterior screw fusion three months previously, presented to our hospital with left flank pain and fever. Computed tomography indicated the presence of a psoas muscle abscess. However, after two days of percutaneous catheter drainage, a mycotic abdominal aortic pseudoaneurysm was detected via computed tomography. We performed in situ revascularization using a prosthetic graft with omental wrapping. Methicillin-resistant Staphylococcus aureus was identified on blood and pus culture, and systemic vancomycin was administered for one month. Although the abscess recurred, it was successfully treated with percutaneous catheter drainage and systemic vancomycin administration for three months, without the need for instrumentation removal. The patient remained asymptomatic throughout two years of follow-up.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fusão Vertebral
/
Supuração
/
Aneurisma Infectado
/
Vancomicina
/
Drenagem
/
Seguimentos
/
Músculos Psoas
/
Abscesso do Psoas
/
Falso Aneurisma
/
Transplantes
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Adulto
/
Humanos
Idioma:
Inglês
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
2015
Tipo de documento:
Artigo
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