Matsubayashi Yuji, Takashima Noriyuki, Kondo Yasuo, Wakisaka Hodaka, Suzuki Tomoaki
Division of Cardiovascular Surgery, Department of Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan.
Ann Vasc Dis. 2021 Mar 25;14(1):71-74. doi: 10.3400/avd.cr.20-00133.
A 66-year-old Japanese male working at a stable developed abdominal pain and fever and was brought to the emergency department. The computed tomography scan revealed an aneurysm of approximately 70 mm in diameter, with an irregular border, at the infrarenal abdominal aorta. Emergency surgery was performed with a bifurcated Dacron graft. was observed on the aneurysm wall. He was discharged in good condition and was prescribed oral amoxicillin/clavulanic acid for 4 months. He has remained well and did not develop inflammation. Evaluation of patient history and data, including the consumption of unpasteurized dairy food, occupation, and direct contact with animals, is important for an early diagnosis, a prompt surgery, and an appropriate antibiotic therapy.
一名66岁在马场工作的日本男性出现腹痛和发热症状，被送往急诊科。计算机断层扫描显示肾下腹主动脉处有一个直径约70毫米、边界不规则的动脉瘤。采用分叉涤纶移植物进行了急诊手术。在动脉瘤壁上观察到……。他康复出院，并被开了4个月的口服阿莫西林/克拉维酸。他一直状况良好，未发生炎症。评估患者病史和数据，包括食用未杀菌乳制品、职业以及与动物的直接接触情况，对于早期诊断、及时手术和适当的抗生素治疗很重要。
