Uchida Kaoru, Shuto Takashi, Wada Tomoyuki, Tanaka Hideyuki, Miyamoto Shinji
Department of Cardiovascular Surgery, Faculty of Medicine, Oita University, Yufu, Oita, Japan.
Ann Vasc Dis. 2021 Jun 25;14(2):188-191. doi: 10.3400/avd.cr.21-00013.
A 68-year-old man presented with a chief complaint of left leg pain; he was later diagnosed with an infected left internal iliac artery aneurysm. Multiple mononeuropathy was suspected. Since the aneurysm had a high risk of rupture, emergency Y-graft replacement was performed. was then detected from the pus of the aneurysm. With continuous oral antimicrobial agents following intravenous antimicrobial agents, the patient was noted to have no recurrence. However, his leg pain symptoms continued postoperatively; thus, a supporting device was needed. It should be noted that even neurological symptoms may indicate the presence of aortoiliac aneurysms.
一名68岁男性因左腿疼痛为主诉就诊；他后来被诊断为左侧髂内动脉感染性动脉瘤。怀疑有多发性单神经病。由于动脉瘤破裂风险高，遂进行了急诊Y型移植物置换术。随后从动脉瘤脓液中检测到（此处原文缺失具体内容）。在静脉使用抗菌药物后持续口服抗菌药物，患者未出现复发。然而，他术后腿部疼痛症状仍持续；因此，需要一个支撑装置。应当注意的是，即使是神经症状也可能提示存在主髂动脉瘤。
