ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Non-aneurysmal infectious aortitis presenting with low back pain and abdominal pain
Chan Woo Park1, Hui Young Lee2, Moo Ho Won3, Jun Hwi Cho1
Kangwon National University Hospital, College of Medicine, Kangwon National University, Chuncheon-si Gangwon-do, South Korea
1Departments of Emergency Medicine, Kangwon National University Hospital, College of Medicine, Kangwon National University, Chuncheon-si, South Korea
2Departments of Internal Medicine, Kangwon National University Hospital, College of Medicine, Kangwon National University, Chuncheon-si, South Korea
3Department of Neurobiology, College of Medicine, Kangwon National University, Chuncheon-si, South Korea
DOI : 10.5606/tgkdc.dergisi.2014.8260
Non-aneurysmal infectious aortitis which is rarely seen presents with non-specific symptoms. Delayed treatment of the disease may result in aneurysmal changes, pseudoaneurysmal formation, and aortic rupture. A 59-yearold male patient was admitted to the emergency department with complaints of low back pain and abdominal pain. The patient had concomitant diabetes, hypertension, and rheumatoid arthritis. An abdominal computed tomography scan showed signs corresponding to non-aneurysmal infectious aortitis. The infected aorta was removed through surgical resection and anastomosis was conducted using the synthetic grafts. Broad-spectrum antibiotics were administered for a prolonged period of time. The treatment of non-aneurysmal infectious aortitis requires surgical resection immediately along with broad-spectrum antibiotics to prevent fatal complications, such as aortic rupture.
Keywords : Antibiotic; aortitis; infectious; resection; rupture
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