Ge Phillip S, de Virgilio Christian
Department of Medicine, UCLA Medical Center, Los Angeles, CA 90309, USA.
Ann Vasc Surg. 2012 Feb;26(2):280.e1-4. doi: 10.1016/j.avsg.2011.04.012.
We report an unusual case of Clostridium septicum aortitis with associated adenocarcinoma of the sigmoid colon. An 87-year-old man with multiple medical comorbidities presented with a 1-week history of severe abdominal pain in the left lower quadrant of his abdomen. Abdominal computed tomography showed, in addition to a mass in the sigmoid colon, a gas density within the wall of the abdominal aorta with extensive periaortic fat stranding and some additional gas densities in the proximal left common iliac artery. The patient refused surgery, and was treated with intravenous antibiotics. He died 5 weeks later. The development of Clostridiumsepticum aortitis, an extremely rare but life-threatening infection, is highly associated with an underlying colonic malignancy and demands immediate surgical intervention.
我们报告了一例罕见的伴有乙状结肠癌的败血梭菌性主动脉炎病例。一名患有多种内科合并症的87岁男性，出现左下腹部严重腹痛1周病史。腹部计算机断层扫描显示，除乙状结肠有肿块外，腹主动脉壁内有气体密度影，伴有广泛的主动脉周围脂肪条索状影，左髂总动脉近端还有一些额外的气体密度影。患者拒绝手术，接受了静脉抗生素治疗。5周后患者死亡。败血梭菌性主动脉炎是一种极其罕见但危及生命的感染，其发生与潜在的结肠恶性肿瘤高度相关，需要立即进行手术干预。
