dc.contributor.author |
Al-Ani, Haya Husam |
en |
dc.contributor.author |
Khashram, Manar |
en |
dc.contributor.author |
Dean, Anastasia |
en |
dc.contributor.author |
Bourchier, Russell |
en |
dc.contributor.author |
Bhamidipaty, Venu |
en |
dc.contributor.author |
Hill, Andrew |
en |
dc.date.accessioned |
2020-01-12T22:53:23Z |
en |
dc.date.issued |
2019-11 |
en |
dc.identifier.citation |
Annals of vascular surgery 61:469.e1-469.e4 Nov 2019 |
en |
dc.identifier.issn |
0890-5096 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/49606 |
en |
dc.description.abstract |
Primary infected abdominal aortic aneurysm (AAA) is an uncommon presentation which can be associated with significant morbidity and mortality. In this report, we present 2 cases of infected AAAs less than 10 days after a transrectal ultrasound-guided (TRUS) prostate biopsy. A 63-year-old male presenting with sepsis and back pain 9 days after TRUS biopsy was found to have a 27-mm ectatic abdominal aorta which expanded to 59 mm in the course of a week, despite antibiotic therapy. He underwent successful surgical excision of the infected aortic aneurysm and reconstruction using a vein. A 55-year-old male presented similarly, 7 days after prostate biopsy with a 60-mm aortic aneurysm. His aneurysm ruptured 2 days before planned intervention-he did not survive an emergency repair. In both cases, aortic tissue biopsies confirmed growth of Escherichia coli. Preexistence of an aortic aneurysm was not known in either case as neither patient had imaging of the abdominal aorta. We postulate the pathophysiology was due to hematogenous spread. |
en |
dc.format.medium |
Print-Electronic |
en |
dc.language |
eng |
en |
dc.relation.ispartofseries |
Annals of vascular surgery |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.subject |
Prostate |
en |
dc.subject |
Humans |
en |
dc.subject |
Escherichia coli Infections |
en |
dc.subject |
Aneurysm, Infected |
en |
dc.subject |
Sepsis |
en |
dc.subject |
Back Pain |
en |
dc.subject |
Aortic Rupture |
en |
dc.subject |
Aortic Aneurysm, Abdominal |
en |
dc.subject |
Ultrasonography, Interventional |
en |
dc.subject |
Treatment Outcome |
en |
dc.subject |
Fatal Outcome |
en |
dc.subject |
Risk Factors |
en |
dc.subject |
Middle Aged |
en |
dc.subject |
Male |
en |
dc.subject |
Image-Guided Biopsy |
en |
dc.title |
Infected Abdominal Aortic Aneurysm After Transrectal Ultrasound-Guided Biopsy of the Prostate: A Report of Two Cases. |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1016/j.avsg.2019.05.021 |
en |
pubs.begin-page |
469.e1 |
en |
pubs.volume |
61 |
en |
dc.rights.holder |
Copyright: 2019 Elsevier Inc. |
en |
pubs.end-page |
469.e4 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Case Reports |
en |
pubs.elements-id |
786562 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Surgery Department |
en |
dc.identifier.eissn |
1615-5947 |
en |
pubs.record-created-at-source-date |
2019-08-06 |
en |
pubs.dimensions-id |
31382000 |
en |