[Mycotic aneurysm of the iliac artery caused by Salmonella infection. A case report]

Abstract

Localized extra-intestinal manifestations of salmonella infections are rare, but will be encountered more frequently due to the increasing number of salmonellosis in recent years. We report a 55-year-old patient with an infected aneurysm of the right iliac artery caused by S. enteritidis. Vascular surgery with resection of the aneurysm, debridement, reconstruction with direct anastomosis of the mobilized artery was successful in combination with antibiotic therapy, but the course was complicated by a deep venous thrombosis, ileus and abdominal wall hemorrhage. A short review of the pertinent literature follows the case report, with emphasis on the surgical aspects. Autogenous reconstruction is considered the surgical treatment of choice for infected iliac aneurysms.