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Case Reports
. 2020 Jun 15;8(10):1914-1918.
doi: 10.1002/ccr3.3025. eCollection 2020 Oct.

Emphysematous aortic arch aneurysm infected with Salmonella: A case report

Shinji Akishima  1
Affiliations
Case Reports

Emphysematous aortic arch aneurysm infected with Salmonella: A case report

Shinji Akishima. Clin Case Rep. .

Abstract

Infected aortic aneurysm is a relatively rare disease that is extremely difficult to manage, resulting in a poor prognosis. We rescued a patient with Salmonella-infected aortic arch aneurysm surrounded with a specific and massive emphysema, despite experiencing aortic rupture, including delayed esophageal perforation after surgery.

Keywords: Salmonella; emphysema; esophageal perforation; infected aortic aneurysm.

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Conflict of interest statement

None declared.

Figures

FIGURE 1
FIGURE 1
Chest X‐ray on admission. The aortic arch shadow is remarkably enlarged, resulting in tracheal deviation to the right side (arrows)
FIGURE 2
FIGURE 2
Computed tomography on admission reveals a specific and massive air‐filled collection, indicating emphysema, around the infected aortic arch aneurysm (arrows)
FIGURE 3
FIGURE 3
Computed tomography reveals a ruptured but shielded aortic arch aneurysm at 11 d after admission (arrow)
FIGURE 4
FIGURE 4
Intraoperative view. Infected aortic arch aneurysm involving the left common carotid and left subclavian arteries (arrows)
FIGURE 5
FIGURE 5
A, Computed tomography reveals the delayed esophageal perforation after surgery (white arrow); B, After 2 mo and a half, upper gastrointestinal endoscopy reveals the closure of esophageal perforation such as a small diverticulum without inflammation (black arrows)
FIGURE 6
FIGURE 6
3D computed tomography reveals the endovascular stent‐graft indwelling at the distal anastomosis
See this image and copyright information in PMC

References

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