Presentation
Presyncopal event two months post endovascular aortic aneurysm repair for 9cm AAA. Hypotensive with abdominal tenderness. Serum inflammatory markers raised on admission.
Patient Data
There is circumferential retroperitoneal inflammation surrounding the repaired aorta. Gas locules present within aneurysmal sac. Reactive appearing lymph nodes are also present. No evidence of endoleak. Findings are consistent with graft infection.
White Blood Cell Scan
There is abnormal white cell accumulation surrounding the aortic graft, mostly at the level of the bifurcation and the right iliac limb. Findings are consistent with graft infection.
Case Discussion
Abdominal tenderness partly improved over admission with IV antibiotic therapy.
Arrangements made for operative repair as infection deemed unlikely to resolve with conservative management.