Mycotic Aortic Aneurysm As A Rare Case Of Constipation And Weight Loss
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.48729/pjctvs.241 |
Resumo: | Mycotic aortic aneurysm is a rare entity, manifesting with nonspecific symptoms of abdominal pain, fever, general malaise. We present a case of an 83-years-old-man, with hematemesis, generalized abdominal pain, and a six-month history of constipation, anorexia, and involuntary weight loss. Upper endoscopy revealed an erosion with oozing hemorrhage and hemostasis was performed. Later he developed a hemorrhagic shock. Abdominal computed tomography disclosed a 3,7x2,5x- 2,5cm aneurysm of the abdominal aorta with an aortoduodenal fistula, inducing an inflammatory plastron that encompassed the descending colon and duodenum. The inflammatory plastron prompted partial duodenal and colonic obstruction and led to an atypical presentation of an aortic aneurysm. Mycotic aneurysms complicated with aorto-enteric fistulas are potentially life-threatening conditions. We highlight the rarity of this case, as the clinical manifestations were prolonged and atypical. The goal is to drive awareness to maintain a high clinical suspicion, as early detection is critical to avoid a tragic outcome. |
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Mycotic Aortic Aneurysm As A Rare Case Of Constipation And Weight Lossmycotic aortic aneurysmconstitutional syndromeaortoduodenal fistulaEVARMycotic aortic aneurysm is a rare entity, manifesting with nonspecific symptoms of abdominal pain, fever, general malaise. We present a case of an 83-years-old-man, with hematemesis, generalized abdominal pain, and a six-month history of constipation, anorexia, and involuntary weight loss. Upper endoscopy revealed an erosion with oozing hemorrhage and hemostasis was performed. Later he developed a hemorrhagic shock. Abdominal computed tomography disclosed a 3,7x2,5x- 2,5cm aneurysm of the abdominal aorta with an aortoduodenal fistula, inducing an inflammatory plastron that encompassed the descending colon and duodenum. The inflammatory plastron prompted partial duodenal and colonic obstruction and led to an atypical presentation of an aortic aneurysm. Mycotic aneurysms complicated with aorto-enteric fistulas are potentially life-threatening conditions. We highlight the rarity of this case, as the clinical manifestations were prolonged and atypical. The goal is to drive awareness to maintain a high clinical suspicion, as early detection is critical to avoid a tragic outcome.SOCIEDADE PORTUGUESA DE CIRURGIA CARDIO-TORÁCICA E VASCULAR2023-01-14info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.48729/pjctvs.241https://doi.org/10.48729/pjctvs.241Portuguese Journal of Cardiac Thoracic and Vascular Surgery; Vol. 29 No. 4 (2022): Oct - Dec; 65-672184-9927reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://pjctvs.com/index.php/journal/article/view/241https://pjctvs.com/index.php/journal/article/view/241/286Copyright (c) 2023 Portuguese Journal of Cardiac Thoracic and Vascular Surgeryinfo:eu-repo/semantics/openAccessChálim Rebelo, CarolinaMoura, Diogo BernardoCosta Santos, VeraPereira, José RenatoDuarte, Maria Antónia2023-01-21T04:40:23Zoai:oai.pjctvs.com:article/241Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:45:24.291666Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Mycotic Aortic Aneurysm As A Rare Case Of Constipation And Weight Loss |
title |
Mycotic Aortic Aneurysm As A Rare Case Of Constipation And Weight Loss |
spellingShingle |
Mycotic Aortic Aneurysm As A Rare Case Of Constipation And Weight Loss Chálim Rebelo, Carolina mycotic aortic aneurysm constitutional syndrome aortoduodenal fistula EVAR |
title_short |
Mycotic Aortic Aneurysm As A Rare Case Of Constipation And Weight Loss |
title_full |
Mycotic Aortic Aneurysm As A Rare Case Of Constipation And Weight Loss |
title_fullStr |
Mycotic Aortic Aneurysm As A Rare Case Of Constipation And Weight Loss |
title_full_unstemmed |
Mycotic Aortic Aneurysm As A Rare Case Of Constipation And Weight Loss |
title_sort |
Mycotic Aortic Aneurysm As A Rare Case Of Constipation And Weight Loss |
author |
Chálim Rebelo, Carolina |
author_facet |
Chálim Rebelo, Carolina Moura, Diogo Bernardo Costa Santos, Vera Pereira, José Renato Duarte, Maria Antónia |
author_role |
author |
author2 |
Moura, Diogo Bernardo Costa Santos, Vera Pereira, José Renato Duarte, Maria Antónia |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Chálim Rebelo, Carolina Moura, Diogo Bernardo Costa Santos, Vera Pereira, José Renato Duarte, Maria Antónia |
dc.subject.por.fl_str_mv |
mycotic aortic aneurysm constitutional syndrome aortoduodenal fistula EVAR |
topic |
mycotic aortic aneurysm constitutional syndrome aortoduodenal fistula EVAR |
description |
Mycotic aortic aneurysm is a rare entity, manifesting with nonspecific symptoms of abdominal pain, fever, general malaise. We present a case of an 83-years-old-man, with hematemesis, generalized abdominal pain, and a six-month history of constipation, anorexia, and involuntary weight loss. Upper endoscopy revealed an erosion with oozing hemorrhage and hemostasis was performed. Later he developed a hemorrhagic shock. Abdominal computed tomography disclosed a 3,7x2,5x- 2,5cm aneurysm of the abdominal aorta with an aortoduodenal fistula, inducing an inflammatory plastron that encompassed the descending colon and duodenum. The inflammatory plastron prompted partial duodenal and colonic obstruction and led to an atypical presentation of an aortic aneurysm. Mycotic aneurysms complicated with aorto-enteric fistulas are potentially life-threatening conditions. We highlight the rarity of this case, as the clinical manifestations were prolonged and atypical. The goal is to drive awareness to maintain a high clinical suspicion, as early detection is critical to avoid a tragic outcome. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-01-14 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.48729/pjctvs.241 https://doi.org/10.48729/pjctvs.241 |
url |
https://doi.org/10.48729/pjctvs.241 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://pjctvs.com/index.php/journal/article/view/241 https://pjctvs.com/index.php/journal/article/view/241/286 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Portuguese Journal of Cardiac Thoracic and Vascular Surgery info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Portuguese Journal of Cardiac Thoracic and Vascular Surgery |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
SOCIEDADE PORTUGUESA DE CIRURGIA CARDIO-TORÁCICA E VASCULAR |
publisher.none.fl_str_mv |
SOCIEDADE PORTUGUESA DE CIRURGIA CARDIO-TORÁCICA E VASCULAR |
dc.source.none.fl_str_mv |
Portuguese Journal of Cardiac Thoracic and Vascular Surgery; Vol. 29 No. 4 (2022): Oct - Dec; 65-67 2184-9927 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799130925688160256 |