Endovascular aortic graft infection resulting in retroperitoneal abscess: report of a case

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Enrico Ferri *
Laura Magrini
Marco Alfano
Michela Del Parco
Chiara Serena Gori
Salvatore Di Somma
(*) Corresponding Author:
Enrico Ferri | lucia.zoppi@pagepress.org

Abstract

Infection is a rare complication of aortoiliac endovascular procedures, with an incidence inferior to 0.5%, and it may result in a retroperitoneal abscess potentially evolving to sepsis and gastrointestinal bleeding. In more than 50% of cases endovascular aortoiliac prosthetic grafts infection occur months or years after the procedure. The growing number of endovascular procedures, and as the actually midterm follow up in most cases, septic sequelae will no doubt continue to occur with increased frequency and may represent an emerging problem in the ED for the emergency physician. Endovascular graft infection begins with unspecific clinical manifestations. An high index of suspicion in any patient with an aortic stent graft presenting prolonged or recurrent fever and or abdominal or back pain and a low threshold for obtaining CT scan should increase the clinician’s ability to make a timely diagnosis in the ED setting.

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Author Biographies

Enrico Ferri, Department of Emergency Medicine, AO Sant’Andrea, La Sapienza University of Rome, Rome, Italy

Laura Magrini, Department of Emergency Medicine, AO Sant’Andrea, La Sapienza University of Rome, Rome, Italy

Marco Alfano, Department of Emergency Medicine, AO Sant’Andrea, La Sapienza University of Rome, Rome, Italy

Michela Del Parco, Department of Emergency Medicine, AO Sant’Andrea, La Sapienza University of Rome, Rome, Italy

Chiara Serena Gori, Department of Emergency Medicine, AO Sant’Andrea, La Sapienza University of Rome, Rome, Italy

Salvatore Di Somma, Department of Emergency Medicine, AO Sant’Andrea, La Sapienza University of Rome, Rome, Italy