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Ann Vasc Surg. 2018 Feb;47:279.e13-279.e17. doi: 10.1016/j.avsg.2017.07.041. Epub 2017 Sep 6.

Rare Presentation of a Syphilitic Aneurysm of the Infrarenal Aorta with Contained Rupture.

Author information

1
Section of Vascular Surgery, Department of Surgery, University of Texas Health San Antonio, San Antonio, TX.
2
Section of Vascular Surgery, Department of Surgery, University of Texas Health San Antonio, San Antonio, TX. Electronic address: haidar@uthscsa.edu.

Abstract

We report, to our knowledge, the first case of a rare syphilitic infrarenal aortouniiliac aneurysm with contained rupture that presented with midepigastric abdominal pain. Review of the patient's medical history revealed untreated syphilis and poorly treated congestive heart failure. Given his comorbidities, the patient was treated with an emergent endovascular aneurysm repair. His 30-day postoperative recovery period was uneventful, and follow-up imaging revealed complete resolution of the aneurysms. Syphilitic infrarenal aortic aneurysm is currently considered a rare entity in this era of antibiotics. The present article provides a brief case report and short review of literature pertaining to syphilitic aortic aneurysms.

PMID:
28887247
DOI:
10.1016/j.avsg.2017.07.041
[Indexed for MEDLINE]

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