Concomitant mycotic abdominal aortic aneurysm and lumbartuberculous spondylitis with cauda equina syndrome: a rare condition - a case report and literature review

Spinal Cord Series and Cases
Tinnakorn PluemvitayapornApinan Uthaipaisanwong

Abstract

Concomitant mycotic abdominal aortic aneurysm and lumbar tuberculous spondylitis with psoas abscess and cauda equina syndrome is extremely rare. This condition can cause serious life-threatening problems if not diagnosed and treated properly. We report an unusual case of a 79-year-old Thai male, who was diagnosed with concomitant mycotic abdominal aortic aneurysm and lumbar tuberculous spondylitis at the L2-L3 level with left psoas abscess and cauda equina syndrome. The surgical plan was radical surgical debridement via transpsoas approach and the defect was filled with iliac crest strut graft and posterior decompressive laminectomy and fusion with a pedicle screws and rods system. During the operation, an abdominal aortic aneurysm was iatrogenically ruptured and then was emergently treated with endovascular stent graft implantation. Subsequently, hemostasis was achieved and the patient remained hemodynamically stable. A few days later, he underwent posterior decompressive laminectomy L2-L3, fusion and instrumentation with a pedicle screws and rods system at T11-L5. After surgery, the patient recovered well and his motor power improved gradually. He was continually treated with anti-tuberculous chemotherapy for 12 months. Conco...Continue Reading

References

Dec 1, 1978·AJR. American Journal of Roentgenology·S L KaufmanS S Siegelman
Sep 1, 1996·Journal of Vascular Surgery·R T HaginoR J Valentine
Jul 14, 1962·JAMA : the Journal of the American Medical Association·F I VOLINIG KENT
Jun 26, 2004·Journal of Vascular Surgery·Ron-Bin HsuShu-Hsun Chu
Nov 9, 2005·Journal of Vascular Surgery·Juergen FalkensammerGustav Fraedrich
Jun 24, 2006·Surgical Neurology·Natarajan MuthukumarRajamariappan Rajbaskar
Feb 28, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Yosuke TakahashiShigefumi Suehiro
Apr 18, 2007·Journal of Neurosurgery. Spine·Narayanam Anantha Sai Sai KiranAshok Kumar Mahapatra
May 21, 2008·Asian Journal of Surgery·Hanif Hussein, Zainal A Azizi
May 17, 2011·Journal of Craniovertebral Junction and Spine·Vinod AgrawalS P Nagariya
Nov 29, 2011·The Journal of Spinal Cord Medicine·Ravindra Kumar Garg, Dilip Singh Somvanshi
Jan 1, 2013·Asian Spine Journal·Mohammad R RasouliVafa Rahimi-Movaghar
Nov 8, 2014·Circulation·Karl SöreliusUNKNOWN European MAA collaborators
Aug 22, 2017·The Surgery Journal·Prithvi VargheseIona Leekha Mathew

❮ Previous
Next ❯

Citations

Feb 2, 2021·Continuum : Lifelong Learning in Neurology·Samantha LoRusso

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Related Papers

Korean Journal of Radiology : Official Journal of the Korean Radiological Society
W C LiuH J Shim
International Angiology : a Journal of the International Union of Angiology
T DahlH O Myhre
Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy
Martina CarnevaliniClaudio Maria Mastroianni
© 2022 Meta ULC. All rights reserved