Presentation
Sepsis and abdominal pain.
Patient Data
Age: 70 years
Gender: Male
From the case:
Fungal aortitis with mycotic aneurysms
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Axial C+ arterial phase
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.