P-ISSN: 2708-1494, E-ISSN: 2708-1508
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International Journal of Case Reports in Surgery
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International Journal of Case Reports in Surgery

2020, Vol. 2, Issue 1, Part A

Ruptured mycotic abdominal aortic aneurysm presenting with spinal cord ischaemia: A very rare presentation


Author(s): Gurusamy Kapilan, Sanjaya Iddamalgoda and Joel Arudchelvam

Abstract: Mycotic abdominal aortic aneurysms (AAA) are rare. This case report describes a 59 year old female who presented with a history of sudden onset abdominal pain and bilateral lower limb paralysis. She presented after 24 hours of the onset of symptoms. Bilateral distal lower limb pulses were absent. Computerized tomographic (CT) scan of abdomen showed a leaking, saccular, juxtarenal AAA. There was a thin layer of thrombus on the posterior wall of the aneurysm. The lumbar arteries were not visualised, indicating that they were thrombosed. On bilateral fasciotomy of the legs all muscles were viable. Therefore acute lower limb paralysis due to leaking AAA and thrombosis of the spinal arteries leading to spinal cord ischaemia was clinically diagnosed. Patient underwent repair of the AAA with antibiotic coated tube polyester graft. Salmonella was isolated from the aortic wall tissue. Patient was treated with prolonged course of antibiotics. Hemo-dynamically she improved but her lower limb muscle and sensory functions did not improve.

Pages: 09-11 | Views: 229 | Downloads: 126

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How to cite this article:
Gurusamy Kapilan, Sanjaya Iddamalgoda, Joel Arudchelvam. Ruptured mycotic abdominal aortic aneurysm presenting with spinal cord ischaemia: A very rare presentation. Int J Case Rep Surg 2020;2(1):09-11.


International Journal of Case Reports in Surgery