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. 2008 Jun;70(3):138-41.
doi: 10.1007/s12262-008-0038-4. Epub 2008 Jul 24.

Ruptured inflammatory aortic aneurysm with aortoenteric fistula and infected with Streptococcus pneumoniae: a review of the literature

M Sintler  1 , N Howell, A Mahmood, R K Vohra
Affiliations

Ruptured inflammatory aortic aneurysm with aortoenteric fistula and infected with Streptococcus pneumoniae: a review of the literature

M Sintler et al. Indian J Surg. 2008 Jun.

Abstract

We present a case report of a 65-year-old gentleman who presented with an aortoenteric fistula along with a review of the literature. He was found, in addition, to have an inflammatory infrarenal aortic aneurysm with a posterior rupture. Cultures of the aneurysm sac confirmed a Streptococcus pneumoniae infection. The patient had previously presented with pneumonia. Antibody testing revealed an isolated pneumococcal IgG deficiency. The case demonstrates the diverse pathologies associated with aortic aneurysms and a need to be vigilant and occasionally expect the unusual.

Keywords: Abdominal aorta; Aneurysm; Aortoenteric; Fistula; Inflammatory aneurysm; Mycotic; Streptococcus pneumoniae.

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