[Septic iliac artery pseudo-aneurysm and spondylodiscitis L5-S1 induced by foreign body (wood shard) after intra-abdominal penetrating injury]

Abstract

We report the case of a 46-year-old man, admitted in emergency department with a small penetrating abdominal wound. Haemodynamically stable, a first surgical exploration has been performed under local anaesthesia in the emergency department, showing no evidence of peritoneal penetration. Six weeks later, a foreign body adjacent to iliac artery septic pseudoaneurysm associated to a spondylodiscitis L5-S1 was showed on multislice CT and led to exploratory laparotomy which confirmed the radiologics pictures and found a jejunal perforation.