Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012 Oct 1;2012(10):16.
doi: 10.1093/jscr/2012.10.16.

Psoas abscess complicating endovascular aortic aneurysm repair

O Moussa  1 , L Sreedharan  1 , J Poels  1 , T Ojimba  1
Affiliations

Psoas abscess complicating endovascular aortic aneurysm repair

O Moussa et al. J Surg Case Rep. .

Abstract

Aortic stent graft infection is a rare but serious complication associated with high mortality. This report emphasizes the need for continued awareness of potential graft-related septic complications in patients undergoing Endovascular Aortic Repair (EVAR). We report a case in which a post-EVAR patient became unwell about 30 days post operatively and was shown on CT scanning to have a psoas abscess. The abscess was managed with percutaneous drainage and antibiotics. The patient remains well with no evidence of psoas collection or perigraft infection one year on. We review the available literature and discuss the merits of different management strategies.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
An 82 year old male with 5.8cm AAA of 10.5cm in length
Fig. 2
Fig. 2
A 50 mm maximum retroperitoneal collection situated between the right kidney and the right iliac vessels
Fig. 3
Fig. 3
A 50 mm maximum retroperitoneal collection situated between the right kidney and the right iliac vessels
Fig. 4
Fig. 4
CT guided drainage was carried out using a 10 French gauge pigtail catheter locked pigtail (Meditech Flexima regular all-purpose drainage catheter sets with locking pigtail (Boston Scientific))
Fig. 5
Fig. 5
Near complete resolution of psoas collection after 2 weeks of intravenous antibiotics
See this image and copyright information in PMC

References

    1. Macedo TA, Stanson AW, Oderich GS, Johnson CM, Panneton JM, Tie ML. Infected aortic aneurysms: imaging findings. Radiology. 2004; 231:250–7 - PubMed
    1. Jackson MR, Claggett GP.Aortic graft infection. In: Cronenwett JL, Rutherford RB, editors Decision making in Vascular Surgery, Philadelphia, Pa: WB Saunders; 2001, p 186–91
    1. Sharif MA, Lee B, Lau LL, Ellis PK, Collins AJ, Blair PH, Soong CV. Prosthetic stent graft infection after endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2007; 48(3):442–8 - PubMed
    1. Hulin SJ, Morris GE. Aortic endograft infection: open surgical management with endograft preservation. Eur J Vasc Endovasc Surg. 2007; 34:191–3 - PubMed
    1. Balink H, Reijnen MMPJ. Diagnosis of abdominal aortic prosthesis infection with FDG-PET/CT, Vasc Endovasc Surg. 2007; 41:428–432 - PubMed