https://doi.org/10.4081/ecj.2010.2.7

Endovascular aortic graft infection resulting in retroperitoneal abscess: report of a case

Vol 6, No 2 (2010)
Submitted: 17 February 2013
Accepted: 17 February 2013
Published: 10 June 2010
Endovascular aortic graft infection, retroperitoneal abscess
Abstract Views: 981
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Authors

Enrico Ferri
lucia.zoppi@pagepress.org
Department of Emergency Medicine, AO Sant’Andrea, La Sapienza University of Rome, Rome, Italy, .
Laura Magrini
Department of Emergency Medicine, AO Sant’Andrea, La Sapienza University of Rome, Rome, Italy, .
Marco Alfano
Department of Emergency Medicine, AO Sant’Andrea, La Sapienza University of Rome, Rome, Italy, .
Michela Del Parco
Department of Emergency Medicine, AO Sant’Andrea, La Sapienza University of Rome, Rome, Italy, .
Chiara Serena Gori
Department of Emergency Medicine, AO Sant’Andrea, La Sapienza University of Rome, Rome, Italy, .
Salvatore Di Somma
Department of Emergency Medicine, AO Sant’Andrea, La Sapienza University of Rome, Rome, Italy, .
Infection is a rare complication of aortoiliac endovascular procedures, with an incidence inferior to 0.5%, and it may result in a retroperitoneal abscess potentially evolving to sepsis and gastrointestinal bleeding. In more than 50% of cases endovascular aortoiliac prosthetic grafts infection occur months or years after the procedure. The growing number of endovascular procedures, and as the actually midterm follow up in most cases, septic sequelae will no doubt continue to occur with increased frequency and may represent an emerging problem in the ED for the emergency physician. Endovascular graft infection begins with unspecific clinical manifestations. An high index of suspicion in any patient with an aortic stent graft presenting prolonged or recurrent fever and or abdominal or back pain and a low threshold for obtaining CT scan should increase the clinician’s ability to make a timely diagnosis in the ED setting.

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Enrico Ferri, Department of Emergency Medicine, AO Sant’Andrea, La Sapienza University of Rome, Rome, Italy
Laura Magrini, Department of Emergency Medicine, AO Sant’Andrea, La Sapienza University of Rome, Rome, Italy
Marco Alfano, Department of Emergency Medicine, AO Sant’Andrea, La Sapienza University of Rome, Rome, Italy
Michela Del Parco, Department of Emergency Medicine, AO Sant’Andrea, La Sapienza University of Rome, Rome, Italy
Chiara Serena Gori, Department of Emergency Medicine, AO Sant’Andrea, La Sapienza University of Rome, Rome, Italy
Salvatore Di Somma, Department of Emergency Medicine, AO Sant’Andrea, La Sapienza University of Rome, Rome, Italy

How to Cite

Ferri, E., Magrini, L., Alfano, M., Del Parco, M., Gori, C. S., & Di Somma, S. (2010). Endovascular aortic graft infection resulting in retroperitoneal abscess: report of a case. Emergency Care Journal, 6(2), 7–9. https://doi.org/10.4081/ecj.2010.2.7

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