Fungal aortitis with mycotic aneurysms

Case contributed by RMH Core Conditions


Sepsis and abdominal pain.

Patient Data

Age: 71
Gender: Male

Stranding and wall thickening involving a 5 cm length of the distal abdominal aorta at the bifurcation. This extends to involve approximately 2 cm of the proximal aspects of both common iliac arteries. The finding is in keeping with aortitis.

There are lobulated saccular aneurysms arising from the aortitis. 

There is an associated peri-aortic collection with gas extending anterior and inferior to the aorta.

Case Discussion

CT-guided biopsy of the peri-aortic inflammatory mass was performed and Aspergillus fumigatus was isolated. 

Fungal infection is a rare cause of aortitis, with Candida and Aspergillus the most common fungi. 

PlayAdd to Share

Case information

rID: 34239
Case created: 11th Feb 2015
Last edited: 30th May 2017
System: Vascular
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.