Roan Jun-Neng, Ko Wen-Chien, Luo Chwan-Yau
Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital and College of Medicine, 138 Sheng-Li Road, Tainan, 70428, Taiwan.
Surg Today. 2009;39(2):137-40. doi: 10.1007/s00595-008-3818-3. Epub 2009 Feb 7.
Campylobacter jejuni infection is one of the most common bacterial causes of acute gastroenteritis worldwide. An extraintestinal manifestation is rare and, to our knowledge, an aortic aneurysm has until now never been documented. We report a case of a 72-year-old patient with a septic aortic pseudoaneurysm caused by C. jejuni infection. Computed tomography and magnetic resonance imaging showed a pseudoaneurysm in the abdominal aorta. The preoperative blood culture indicated a Gram-negative bacillus, which was identified 7 days later as C. jejuni. An aneurysmectomy, extensive debridement, and an in situ graft wrapped with the omentum were done, and the patient was given a 6-week course of antibiotics. Despite readmissions for abdominal infection and Salmonella bacteremia, a graft infection did not develop. In the 3 years since the procedure the patient has shown no signs of a relapse.
空肠弯曲菌感染是全球急性胃肠炎最常见的细菌病因之一。肠外表现罕见，据我们所知，主动脉瘤迄今尚无文献记载。我们报告一例72岁患者，因空肠弯曲菌感染导致感染性主动脉假性动脉瘤。计算机断层扫描和磁共振成像显示腹主动脉假性动脉瘤。术前血培养显示革兰氏阴性杆菌，7天后鉴定为空肠弯曲菌。进行了动脉瘤切除术、广泛清创术以及用大网膜包裹原位移植物，并给予患者为期6周的抗生素治疗。尽管患者因腹部感染和沙门菌血症再次入院，但未发生移植物感染。术后3年，患者未出现复发迹象。
