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題名 | Infected Infrarenal Aortic Aneurysms Due to Salmonella: Report of One Case=沙門氏桿菌菌血症合併腹主動脈瘤:一病例報告 |
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作者 | 游建智; 林致源; 蔡宜廷; 洪國峻; 李國楨; 蔡建松; | 書刊名 | 臺灣外科醫學會雜誌 |
卷期 | 36:4 民92.07-08 |
頁次 | 頁193-197 |
分類號 | 416.263 |
關鍵詞 | 沙門氏桿菌菌血症; 腹主動脈瘤; Mycotic aneurysm; Salmonella; |
語文 | 英文(English) |
英文摘要 | Mycotic aneurysms are uncommon but remain one of the most challenging clinical problems for the vascular surgeon. They are associated with high morbidity and mortality, and the clinical signs and symptoms are non specific. Surgical repair by either in situ graft replacement or extra-anatomic reconstruction remains controversial. Here we report the case of an infected infrarenal aortic aneurysms due to salmonellosis treated by aortic resection and extra-anatomic bypass using synthetic graft. We reviewed the pathogenesis, clinical and laboratory characteristics, and treatment of aortitis due to Salmonella. Early diagnosis is the key to successful treatment. This limits the extent of infection and allows intervention before rupture. Prompt surgical resection of the infected aneurysm together with medical therapy is required for successful treatment. |
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