Spontaneous Superficial Femoral Artery Mycotic Aneurysm

Journal of Medical Cases, 2016

Aneurysms of peripheral arteries of the leg like the iliac, superficial femoral or popliteal arteries are quite rare. They often tend to coexist or develop later in other vessels in patients who have been treated at one site. They usually present with symptoms of compression of adjacent structures usually the veins or nerves or by distal embolization of the vessels causing a trash foot. It is extremely rare for them to present with a rupture. If this rare event does occur, one has to have strong suspicion of a mycotic (infected) aneurysm. We present a rare case of a ruptured superficial artery aneurysm and its successful management.

Sri Lanka Journal of Surgery

2021

Background: Aneurysm of the peripheral artery is a rare vascular pathology, especially aneurysm in the common femoral artery. Here, we presented a case report of a right common femoral artery aneurysm caused by infection. Objective: This case report is aimed to explore further about the diagnosis process of rare cases in peripheral arteries to elaborate proper treatment for patients with this condition. Case Presentation: a 76-year-old man was referred to our hospital with a pulsatile groin mass at his right thigh. He had no prior history of surgery or traumas, but he has been treated in a private hospital due to septic condition, hypertension, and type II diabetes mellitus. A diagnosis of a common femoral artery aneurysm was made based on findings from physical examination and radiology examination. The patient was referred to the Cardiovascular and Thoracic Surgeon Department and scheduled for routine surgery, but on the third day of admission patient became hemodynamically unstab...

The American Surgeon, 2017

Brief Reports should be submitted online to www.editorialmanager.com/ amsurg. (See details online under ''Instructions for Authors''.) They should be no more than 4 double-spaced pages with no Abstract or sub-headings, with a maximum of four (4) references. If figures are included, they should be limited to two (2). The cost of printing color figures is the responsibility of the author.

Journal of vascular surgery, 2016

Visceral artery aneurysms as a result of arterial degenerative disease are rare (0.1%-2%), and the superior mesenteric artery (SMA) accounts for 3.2% of all reported series. The current incidence of inferior mesenteric artery (IMA) aneurysm is unknown. However, infective causes (mycotic) of SMA and IMA aneurysm as a result of primary, secondary, and cryptogenic etiology remain a separate entity and attain fewer cases in the literature. Currently, there is no consensus on their presentation, diagnosis, and overall management. A systematic review and meta-aggregation of literature from 1944 to March 2015 in the English language and of adult subjects in MEDLINE, Ovid, CINAHL, and the Cochrane database was conducted. The median age of patients with SMA aneurysm was 36 (range, 14-92) years, with a significant male predominance (73% vs 27%). In order of prevalence, abdominal pain (n = 25; 65%), low-grade fever (n = 23; 60%), malaise (n = 10; 26%), weight loss (n = 9; 23%), and nausea and ...

Journal of Vascular Surgery Cases, Innovations and Techniques, 2019

Isolated iliac artery aneurysms are rare and commonly associated with aortic aneurysms. Hypogastric artery aneurysms (HAAs) are exceptionally rare. The general approach to HAAs has been exclusion and bypass, although when this is complicated by mycotic disease, endovascular techniques can provide unique approaches to management. We present the case of a patient with a mycotic HAA treated with endovascular coil and exclusion followed by aortic to external iliac artery bypass with cadaveric conduit.

Clinical Imaging, 2003

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. D

Annales de Chirurgie Vasculaire, 2011

Un homme de 69 ans etait transf er e dans notre service pour le d ebut soudain d'une douleur a type de compression de la jambe droite, sans isch emie aigu€ e menaçante. L'examen duplex, suivi d'une angiographie s elective de jambe, montrait un an evrysme p eronier. Un diagnostic d'an evrysme mycotique etait fait sur la base de l' etat clinique du patient, des h emocultures positives, et du site inhabituel de la l esion. La r eparation endovasculaire etait faite en employant une embolisation par spires un stent couvert. Le patient est sorti en bon etat g en eral sans douleur. Dans les donn ees pr ec edemment publi ees, seulement quatre cas d'an evrysmes p eroniers mycotiques ont et e rapport es. Dans ce cas, le traitement endovasculaire a et e sûr et efficace.

Indian Journal of Vascular and Endovascular Surgery, 2015

In this article the terminology used to describe venous dilatations were: 1) phlebectasia or venomegalia defined as a diffuse dilatation of one or more veins with a caliber increase ≥ 50% compared with normal [8,9] 2) primary venous aneurysm is defined as a solitary area of venous dilatation that is ≥ 1.5 times the diameter of the normal proximal and distal vein size [10,11], that containing all 3 layers of the vein wall that communicates with a main venous structure by a single channel and must have no association with an arteriovenous communication or pseudoaneurysm, nor be related to a varicose vein (chronic venous insufficiency) [12]. We just included patients that met the required criteria to classify her venous pathology as a primary venous aneurysm and we reviewed hospital records for patient's demographic characteristics, clinical presentation, diagnosis approach, treatment and evolution.

Journal of Vascular Surgery, 2011

Background: The purpose of this experience was to define patient characteristics, aneurysm anatomy and presentation, types of utilized repair options, and temporal changes over 2 decades in the management of femoral artery aneurysms (FAAs). Methods: Between January 1988 and December 2009, 27 patients with a total of 35 true FAAs were analyzed. Histologic examination was obtained for all the operated FAAs. Postoperative follow-up included clinical and radiologic examinations every 6 months in the first year and once per year thereafter. Results: There were 25 men; mean age was 65 ؎ 19 years. Aneurysms involved the common femoral artery in 20 cases (57%), the superficial femoral artery in 9 cases (26%), and the profunda femoris artery in 6 cases (17%). Seven patients (26%) had bilateral aneurysms, and 13 patients (48%) had additional aneurysms. Overall, 10 FAAs (29%) were symptomatic. Mean aneurysm diameter was 46 ؎ 19 mm. Three patients with four aneurysms were not operated on, and 31 aneurysms were finally operated on. Intensive care unit admission was never needed and hospital mortality was not registered. Major complications occurred in 3 cases (3 of 31; 8.5%) only. Amputations were never performed. Mean follow-up was 56 ؎ 49 months. No graft thrombosed and only a late (6 months) anastomotic pseudoaneurysm was detected and treated with an endograft. Patients' survival was 93% ؎ 0.5% at 6 months, 88.6% ؎ 0.6% at 1 year, and 77.6% ؎ 1.2% at 5 years. Conclusion: FAAs have been uncommon and rarely isolated lesions. Surgical repair offered good results either in elective or urgent settings. ( J Vasc Surg 2011;53:1230-6.)