Blumoff R L, McCartney W, Jaques P, Johnson G
Am Surg. 1982 Nov;48(11):601-3.
Mycotic aneurysms of the abdominal aorta are uncommon, but potentially lethal problems. Clinical subtleties may suggest their presence, but in the past, definitive diagnosis has been dependent on surgical exploration or autopsy findings. A case is presented in which 67-gallium citrate abdominal scanning localized the site of sepsis in an abdominal aortic aneurysm and allowed for prompt and successful surgical therapy. This noninvasive technique is recommended as a adjunct in the diagnosis of mycotic abdominal aortic aneurysms.
腹主动脉霉菌性动脉瘤并不常见,但却是潜在的致命问题。临床细微表现可能提示其存在,但过去,明确诊断一直依赖于手术探查或尸检结果。本文报告一例,通过枸橼酸镓腹部扫描定位了腹主动脉瘤内的感染部位,并使得及时且成功的手术治疗得以进行。推荐将这种非侵入性技术作为霉菌性腹主动脉瘤诊断的辅助手段。