Unilateral hypertrophic osteoarthropathy secondary to infected aortobifemoral graft and aortoenteric fistula.

Localized hypertrophic osteoarthropathy is a reported manifestation of--and an important diagnostic clue to--infection of an aortic graft and aortoenteric fistula, two complications of vascular bypass surgery that carry a significant risk of mortality. This clue may lead to the early diagnosis essential to a successful outcome. The authors describe a patient with localized unilateral hypertrophic osteoarthropathy secondary to infection of an aortobifemoral graft and aortoenteric fistula.