Kerzmann A, Ausselet N, Daenen G, Linder J L
Department of Surgery, CHU Notre-Dame des Bruyères, Liège, Belgium.
Acta Chir Belg. 2006 Jul-Aug;106(4):447-9. doi: 10.1080/00015458.2006.11679930.
Infected abdominal aortic aneurysms are uncommon but not rare (1-3% of all abdominal aortic aneurysms). This life-threatening disease can lead to rapid uncontrolled sepsis and/or aortic rupture. We report one case that underlines two notions. Firstly computed tomography is effective to detect early stages of the pathology providing complete depiction of the anatomical abnormalities. Secondly infected aortic aneurysm can be successfully treated by antibiotherapy and in situ replacement with cryopreserved arterial homograft.
感染性腹主动脉瘤并不常见但也并非罕见（占所有腹主动脉瘤的1% - 3%）。这种危及生命的疾病可导致迅速发展且难以控制的脓毒症和/或主动脉破裂。我们报告了一例突出两个概念的病例。首先，计算机断层扫描对于检测该病理的早期阶段很有效，能完整描绘解剖学异常情况。其次，感染性主动脉瘤可通过抗生素治疗及用低温保存的动脉同种异体移植物进行原位置换成功治疗。
