ABSTRACT
Acute infection of an aortic graft is a devastating complication. While resection of the infected prosthesis and extra-anatomic bypass is the established treatment, this carries a high mortality. We describe a case of early aortic graft infection with the unusual organism Acinetobacter baumanii, which was eradicated by a combination of surgical drainage and antibiotics, allowing preservation of the graft. The patient remains well 30 months later.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Blood Vessel Prosthesis/adverse effects , Debridement , Prosthesis-Related Infections/drug therapy , Prosthesis-Related Infections/surgery , Acinetobacter baumannii/isolation & purification , Aged , Aortic Aneurysm, Abdominal/surgery , Blood Vessel Prosthesis Implantation , Combined Modality Therapy , Female , Gentamicins/therapeutic use , Humans , Penicillanic Acid/analogs & derivatives , Penicillanic Acid/therapeutic use , Piperacillin/therapeutic use , Piperacillin, Tazobactam Drug Combination , Prosthesis-Related Infections/microbiology , Rifampin/therapeutic use , Treatment OutcomeABSTRACT
Granulosa cell tumours of the ovary are rare, comprising around 3% of ovarian tumours. These tumours have preponderance for local spread and extremely late recurrence. Although previous cases of recurrence have been described, it is extremely unusual for these tumours to recur after thirty years. We describe a case of recurrence of granulosa cell tumour after 30 years, presenting as small bowel obstruction. The patient had not been followed up after the original surgery, and on histological analysis, recurrence of the original tumour was confirmed. This case report emphasises the necessity for lifelong follow-up of patients who have had these tumours excised, and also the unusual way in which these tumours can recur.
