Department of Surgery, Tokyo Dental College Ichikawa General Hospital, Chiba, Japan.
Department of Surgery, Tokyo Dental College Ichikawa General Hospital, Chiba, Japan.
Ann Vasc Surg. 2021 Apr;72:664.e1-664.e6. doi: 10.1016/j.avsg.2020.10.014. Epub 2020 Nov 21.
Degenerative aneurysms of the superficial femoral artery (SFA) are relatively rare and often recognized when they become symptomatic such as rupture. Infected SFA aneurysms are much rarer, especially those caused by Campylobacter fetus bacteremia. We report a case of a 67-year-old woman referred to our hospital owing to the presence of a painful reddish swelling on her left thigh. A huge SFA aneurysm rupture was diagnosed, and endovascular treatment with a covered stent was performed. C. fetus was detected in the blood culture thereafter, and antibacterial therapy was successfully performed without any additional surgical interventions. She remained well without any evidence of indolent infection 19 months after the endovascular treatment. The endovascular approach with appropriate prolonged antibacterial therapy would be a feasible alternative for managing selected infected aneurysm cases.
股浅动脉（SFA）退行性动脉瘤相对罕见，通常在出现症状时才被发现，如破裂。感染性 SFA 动脉瘤更为罕见，尤其是由弯曲杆菌胎儿菌血症引起的。我们报告了一例 67 岁女性病例，她因左大腿出现疼痛性红色肿胀而被转至我院。诊断为巨大 SFA 动脉瘤破裂，并进行了覆膜支架血管内治疗。此后，血液培养中检出弯曲杆菌胎儿，经抗菌治疗成功，未行任何额外手术干预。血管内治疗后 19 个月，患者无任何慢性感染证据，情况良好。对于特定的感染性动脉瘤病例，血管内方法结合适当的延长抗菌治疗可能是一种可行的替代方案。
