Emphysematous aortitis complicated by a rapidly evolving pseudoaneurysm of the abdominal aorta, a life-threatening emergency: Case report and literature review
Emphysematous aortitis is a rare but serious clinical form of infectious aortitis that can lead to potentially fatal complications, in particular pseudoaneurysms of the aorta that rapidly progress to rupture. This article describes the case of a 61-year-old man who presented with severe abdominal pa...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-07-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S193004332500278X |
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| author | Tarik Bakkali Safaa Mouhanni Jalal Kherroubi Saad Alyakine Mehdi Lekehal Ayoub Bounssir Brahim Lekehal |
| author_facet | Tarik Bakkali Safaa Mouhanni Jalal Kherroubi Saad Alyakine Mehdi Lekehal Ayoub Bounssir Brahim Lekehal |
| author_sort | Tarik Bakkali |
| collection | DOAJ |
| description | Emphysematous aortitis is a rare but serious clinical form of infectious aortitis that can lead to potentially fatal complications, in particular pseudoaneurysms of the aorta that rapidly progress to rupture. This article describes the case of a 61-year-old man who presented with severe abdominal pain of 10 days duration associated with a hypertensive crisis. Imaging revealed emphysematous aortitis complicated by an abdominal aortic pseudoaneurysm measuring 14 × 11 mm surrounded by periaortic inflammation and intramural gas. Despite early probabilistic antibiotic therapy, angio-CT surveillance revealed rapid growth of the pseudoaneurysm to 28 × 24 mm within 48 hours. Emergency surgical treatment with an aortic allograft was performed, and postoperative cultures identified Salmonella species as the pathogen. This case highlights the importance of imaging, particularly angioscan, in establishing the diagnosis, assessing the severity of this disease and the importance of prompt surgery in the management of this highly aggressive condition. A review of similar cases in the literature is included to contextualize this rare clinical entity. |
| format | Article |
| id | doaj-art-2ce8120f58ca4bb595e802060fec3ae9 |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-2ce8120f58ca4bb595e802060fec3ae92025-08-20T03:49:42ZengElsevierRadiology Case Reports1930-04332025-07-012073380338310.1016/j.radcr.2025.03.068Emphysematous aortitis complicated by a rapidly evolving pseudoaneurysm of the abdominal aorta, a life-threatening emergency: Case report and literature reviewTarik Bakkali0Safaa Mouhanni1Jalal Kherroubi2Saad Alyakine3Mehdi Lekehal4Ayoub Bounssir5Brahim Lekehal6Mohammed V University in Rabat, Rabat, Morocco; Vascular Surgery Department, Ibn Sina University Hospital Centre, Rabat, MoroccoAbdelmalek-Essaadi University, Tétouan, Morocco; Service de chirurgie vasculaire, CHU de Mohammed VI, Tanger, Morocco; Corresponding author.Mohammed V University in Rabat, Rabat, Morocco; Vascular Surgery Department, Ibn Sina University Hospital Centre, Rabat, MoroccoMohammed V University in Rabat, Rabat, Morocco; Vascular Surgery Department, Ibn Sina University Hospital Centre, Rabat, MoroccoMohammed V University in Rabat, Rabat, Morocco; Vascular Surgery Department, Ibn Sina University Hospital Centre, Rabat, MoroccoMohammed V University in Rabat, Rabat, Morocco; Vascular Surgery Department, Ibn Sina University Hospital Centre, Rabat, MoroccoMohammed V University in Rabat, Rabat, Morocco; Vascular Surgery Department, Ibn Sina University Hospital Centre, Rabat, MoroccoEmphysematous aortitis is a rare but serious clinical form of infectious aortitis that can lead to potentially fatal complications, in particular pseudoaneurysms of the aorta that rapidly progress to rupture. This article describes the case of a 61-year-old man who presented with severe abdominal pain of 10 days duration associated with a hypertensive crisis. Imaging revealed emphysematous aortitis complicated by an abdominal aortic pseudoaneurysm measuring 14 × 11 mm surrounded by periaortic inflammation and intramural gas. Despite early probabilistic antibiotic therapy, angio-CT surveillance revealed rapid growth of the pseudoaneurysm to 28 × 24 mm within 48 hours. Emergency surgical treatment with an aortic allograft was performed, and postoperative cultures identified Salmonella species as the pathogen. This case highlights the importance of imaging, particularly angioscan, in establishing the diagnosis, assessing the severity of this disease and the importance of prompt surgery in the management of this highly aggressive condition. A review of similar cases in the literature is included to contextualize this rare clinical entity.http://www.sciencedirect.com/science/article/pii/S193004332500278XSalmonellaPseudoaneurysmAortaAntibiotic |
| spellingShingle | Tarik Bakkali Safaa Mouhanni Jalal Kherroubi Saad Alyakine Mehdi Lekehal Ayoub Bounssir Brahim Lekehal Emphysematous aortitis complicated by a rapidly evolving pseudoaneurysm of the abdominal aorta, a life-threatening emergency: Case report and literature review Radiology Case Reports Salmonella Pseudoaneurysm Aorta Antibiotic |
| title | Emphysematous aortitis complicated by a rapidly evolving pseudoaneurysm of the abdominal aorta, a life-threatening emergency: Case report and literature review |
| title_full | Emphysematous aortitis complicated by a rapidly evolving pseudoaneurysm of the abdominal aorta, a life-threatening emergency: Case report and literature review |
| title_fullStr | Emphysematous aortitis complicated by a rapidly evolving pseudoaneurysm of the abdominal aorta, a life-threatening emergency: Case report and literature review |
| title_full_unstemmed | Emphysematous aortitis complicated by a rapidly evolving pseudoaneurysm of the abdominal aorta, a life-threatening emergency: Case report and literature review |
| title_short | Emphysematous aortitis complicated by a rapidly evolving pseudoaneurysm of the abdominal aorta, a life-threatening emergency: Case report and literature review |
| title_sort | emphysematous aortitis complicated by a rapidly evolving pseudoaneurysm of the abdominal aorta a life threatening emergency case report and literature review |
| topic | Salmonella Pseudoaneurysm Aorta Antibiotic |
| url | http://www.sciencedirect.com/science/article/pii/S193004332500278X |
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