A Case of Successful Surgical Treatment for Open Ruptured Abdominal Aortic Aneurysm due to Salmonella Infection

Shinji Miyamoto Eriko Iwata Hirofumi Anai
Hidenori Sako Hirotsugu Hamamoto Osamu Shigemitsu
Tetsuo Hadama

(Department of Cardiovascular Surgery, Oita Medical University, Oita, Japan)

A 60-year-old man with impending rupture of abdominal aortic aneurysm was transferred to our hospital. The patient entered a state of shock because of rupture during a CT scan examination. Emergency in site reconstruction with a dacron Y-graft was performed. There was massive intraperitoneal bleeding but no apparent abscess formation around the aneurysm. No drain was placed. A subcutaneous abscess that developed postoperatively was cured by open drainage and local antibiotic administration. Culture from both the aortic wall and the subcutaneous abscess revealed Salmonella infection. After subsequent intravenous antibiotic therapy for 45 days, the patient was discharged without any evidence of remaining infection.   
 Jpn. J. Cardiovasc. Surg. 31:194-197(2002)