An Infected Massive Persistent Sciatic Artery Aneurysm Treated by an Aneurysmal Incision and Drainage after Angiographic Embolization.

Autor:	Yamashita S; Department of General Medicine, Saga University Hospital, Japan., Tago M; Department of General Medicine, Saga University Hospital, Japan., Tokushima Y; Department of General Medicine, Saga University Hospital, Japan., Aihara H; Department of General Medicine, Saga University Hospital, Japan., Takeshita G; Department of Radiology, Faculty of Medicine, Saga University, Japan., Fujiki K; Department of Radiology, Faculty of Medicine, Saga University, Japan., Fujiwara M; Department of General Medicine, Saga University Hospital, Japan., Yamashita SI; Department of General Medicine, Saga University Hospital, Japan.
Jazyk:	angličtina
Zdroj:	Internal medicine (Tokyo, Japan) [Intern Med] 2022 May 01; Vol. 61 (9), pp. 1447-1452. Date of Electronic Publication: 2021 Oct 12.
DOI:	10.2169/internalmedicine.7928-21
Abstrakt:	A man in his 80s undergoing chronic hemodialysis presented with a high fever. A 10-cm soft mass was palpable in his right buttock. Abdominal computed tomography and angiography showed an incomplete-type unilateral persistent sciatic artery aneurysm (PSAA) with gas patterns and a blood flow through the aneurysm. Incision drainage was performed after arterial embolization. Gram staining of the hematoma showed gram-positive cocci that had formed chains, thus leading to a diagnosis of an infected PSAA. Drainage by incision after arterial embolization was used as the therapeutic method of choice for a massive infected PSAA with a sustained blood flow in order to prevent sciatic nerve injury and bleeding associated with PSAA resection.
Databáze:	MEDLINE
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