Complicated mycotic saccular aneurysm of the infra-renal abdominal aorta with infected retroperitoneal hematoma: a clinical case report

BackgroundRupture of an abdominal aortic aneurysm (AAA) is a life-threatening emergency, with untreated cases nearing a 100% mortality rate. This case presents a rare complication of AAA rupture with an infected retroperitoneal hematoma, emphasizing the importance of timely diagnosis and a multidisc...

Full description

Saved in:
Bibliographic Details
Main Authors: A. M. Chinaliyev, Y. I. Jussubaliyev, D. T. Khassenov, D. Sabyruly, E. M. Shaimerden, M. S. Kapyshev, R. I. Aleushinov, S. Sh. Aitkul, G. A. Yessenbayeva, I. N. Sagandykov, T. A. Sultanaliyev
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-11-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2024.1497561/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846161466413023232
author A. M. Chinaliyev
Y. I. Jussubaliyev
D. T. Khassenov
D. Sabyruly
E. M. Shaimerden
M. S. Kapyshev
R. I. Aleushinov
S. Sh. Aitkul
G. A. Yessenbayeva
I. N. Sagandykov
T. A. Sultanaliyev
author_facet A. M. Chinaliyev
Y. I. Jussubaliyev
D. T. Khassenov
D. Sabyruly
E. M. Shaimerden
M. S. Kapyshev
R. I. Aleushinov
S. Sh. Aitkul
G. A. Yessenbayeva
I. N. Sagandykov
T. A. Sultanaliyev
author_sort A. M. Chinaliyev
collection DOAJ
description BackgroundRupture of an abdominal aortic aneurysm (AAA) is a life-threatening emergency, with untreated cases nearing a 100% mortality rate. This case presents a rare complication of AAA rupture with an infected retroperitoneal hematoma, emphasizing the importance of timely diagnosis and a multidisciplinary approach.Case presentationA 59-year-old male presented with lower back pain, fever, and difficulty moving, persisting for three weeks. Imaging revealed a saccular infra-renal AAA rupture with an infected retroperitoneal hematoma. Emergency surgery included extracorporeal subclavian-femoral bypass and aneurysm resection. Despite intraoperative complications, the patient recovered after 16 days in intensive care and was discharged in satisfactory condition. Follow-up CT one month later showed functioning bypasses and clinical improvement.ConclusionThis case illustrates the critical need for early diagnosis and coordinated surgical intervention in complex AAA ruptures complicated by infection. Timely multidisciplinary treatment is crucial to prevent further complications and improve patient outcomes.
format Article
id doaj-art-5f98adb4e7ed4dbb8f734db57c334cc2
institution Kabale University
issn 2297-055X
language English
publishDate 2024-11-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Cardiovascular Medicine
spelling doaj-art-5f98adb4e7ed4dbb8f734db57c334cc22024-11-21T06:24:00ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2024-11-011110.3389/fcvm.2024.14975611497561Complicated mycotic saccular aneurysm of the infra-renal abdominal aorta with infected retroperitoneal hematoma: a clinical case reportA. M. ChinaliyevY. I. JussubaliyevD. T. KhassenovD. SabyrulyE. M. ShaimerdenM. S. KapyshevR. I. AleushinovS. Sh. AitkulG. A. YessenbayevaI. N. SagandykovT. A. SultanaliyevBackgroundRupture of an abdominal aortic aneurysm (AAA) is a life-threatening emergency, with untreated cases nearing a 100% mortality rate. This case presents a rare complication of AAA rupture with an infected retroperitoneal hematoma, emphasizing the importance of timely diagnosis and a multidisciplinary approach.Case presentationA 59-year-old male presented with lower back pain, fever, and difficulty moving, persisting for three weeks. Imaging revealed a saccular infra-renal AAA rupture with an infected retroperitoneal hematoma. Emergency surgery included extracorporeal subclavian-femoral bypass and aneurysm resection. Despite intraoperative complications, the patient recovered after 16 days in intensive care and was discharged in satisfactory condition. Follow-up CT one month later showed functioning bypasses and clinical improvement.ConclusionThis case illustrates the critical need for early diagnosis and coordinated surgical intervention in complex AAA ruptures complicated by infection. Timely multidisciplinary treatment is crucial to prevent further complications and improve patient outcomes.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1497561/fullabdominal aortic aneurysmaneurysm ruptureretroperitoneal hematomainfectionbypass surgeryhybrid surgical procedures
spellingShingle A. M. Chinaliyev
Y. I. Jussubaliyev
D. T. Khassenov
D. Sabyruly
E. M. Shaimerden
M. S. Kapyshev
R. I. Aleushinov
S. Sh. Aitkul
G. A. Yessenbayeva
I. N. Sagandykov
T. A. Sultanaliyev
Complicated mycotic saccular aneurysm of the infra-renal abdominal aorta with infected retroperitoneal hematoma: a clinical case report
Frontiers in Cardiovascular Medicine
abdominal aortic aneurysm
aneurysm rupture
retroperitoneal hematoma
infection
bypass surgery
hybrid surgical procedures
title Complicated mycotic saccular aneurysm of the infra-renal abdominal aorta with infected retroperitoneal hematoma: a clinical case report
title_full Complicated mycotic saccular aneurysm of the infra-renal abdominal aorta with infected retroperitoneal hematoma: a clinical case report
title_fullStr Complicated mycotic saccular aneurysm of the infra-renal abdominal aorta with infected retroperitoneal hematoma: a clinical case report
title_full_unstemmed Complicated mycotic saccular aneurysm of the infra-renal abdominal aorta with infected retroperitoneal hematoma: a clinical case report
title_short Complicated mycotic saccular aneurysm of the infra-renal abdominal aorta with infected retroperitoneal hematoma: a clinical case report
title_sort complicated mycotic saccular aneurysm of the infra renal abdominal aorta with infected retroperitoneal hematoma a clinical case report
topic abdominal aortic aneurysm
aneurysm rupture
retroperitoneal hematoma
infection
bypass surgery
hybrid surgical procedures
url https://www.frontiersin.org/articles/10.3389/fcvm.2024.1497561/full
work_keys_str_mv AT amchinaliyev complicatedmycoticsaccularaneurysmoftheinfrarenalabdominalaortawithinfectedretroperitonealhematomaaclinicalcasereport
AT yijussubaliyev complicatedmycoticsaccularaneurysmoftheinfrarenalabdominalaortawithinfectedretroperitonealhematomaaclinicalcasereport
AT dtkhassenov complicatedmycoticsaccularaneurysmoftheinfrarenalabdominalaortawithinfectedretroperitonealhematomaaclinicalcasereport
AT dsabyruly complicatedmycoticsaccularaneurysmoftheinfrarenalabdominalaortawithinfectedretroperitonealhematomaaclinicalcasereport
AT emshaimerden complicatedmycoticsaccularaneurysmoftheinfrarenalabdominalaortawithinfectedretroperitonealhematomaaclinicalcasereport
AT mskapyshev complicatedmycoticsaccularaneurysmoftheinfrarenalabdominalaortawithinfectedretroperitonealhematomaaclinicalcasereport
AT rialeushinov complicatedmycoticsaccularaneurysmoftheinfrarenalabdominalaortawithinfectedretroperitonealhematomaaclinicalcasereport
AT sshaitkul complicatedmycoticsaccularaneurysmoftheinfrarenalabdominalaortawithinfectedretroperitonealhematomaaclinicalcasereport
AT gayessenbayeva complicatedmycoticsaccularaneurysmoftheinfrarenalabdominalaortawithinfectedretroperitonealhematomaaclinicalcasereport
AT insagandykov complicatedmycoticsaccularaneurysmoftheinfrarenalabdominalaortawithinfectedretroperitonealhematomaaclinicalcasereport
AT tasultanaliyev complicatedmycoticsaccularaneurysmoftheinfrarenalabdominalaortawithinfectedretroperitonealhematomaaclinicalcasereport