Chan Woo PARK, Hui Young LEE, Jun Hwi CHO, Moo Ho WON

Non-aneurysmal infectious aortitis presenting with low back pain and abdominal pain

Anevrizmal olmayan enfeksiyöz aortit nadir görülmekle birlikte, spesifik olmayan semptomlar ile birlikte seyre- der. Hastalığın tedavisinin gecikmesi anevrizmal deği- şiklikler, psödoanevrizma oluşumu ve aort yırtılması ile sonuçlanabilir. Elli dokuz yaşında erkek hasta bel ağrısı ve karın ağrısı yakınması ile acil servise başvurdu. Hastada eşlik eden diyabet, hipertansiyon ve romatoid artrit vardı. Abdominal bilgisayarlı tomografide anevrizmal olmayan enfeksiyöz aortit ile uyumlu bulgulara rastlandı. Enfekte olmuş aort cerrahi rezeksiyon ile çıkarıldı ve sentetik greft kullanılarak anastomoz uygulandı. Uzun bir süre- liğine geniş spektrumlu antibiyotik tedavisine başlandı. Anevrizmal olmayan enfeksiyöz aortitin tedavisinde acil cerrahi rezeksiyon ve aort yırtılması gibi ölümcül komp- likasyonları önlemek için geniş spektrumlu antibiyotikler gereklidir.

Bel ağrısı ve karın ağrısının eşlik ettiği anevrizmal olmayan enfeksiyöz aortit

Non-aneurysmal infectious aortitis which is rarely seen presents with non-specific symptoms. Delayed treatment of the disease may result in aneurysmal changes, pseudoaneurysmal formation, and aortic rupture. A 59-year- old male patient was admitted to the emergency department with complaints of low back pain and abdominal pain. The patient had concomitant diabetes, hypertension, and rheumatoid arthritis. An abdominal computed tomography scan showed signs corresponding to non-aneurysmal infectious aortitis. The infected aorta was removed through surgical resection and anastomosis was conducted using the synthetic grafts. Broad-spectrum antibiotics were administered for a prolonged period of time. The treatment of non-aneurysmal infectious aortitis requires surgical resection immediately along with broad-spectrum antibiotics to prevent fatal complications, such as aortic rupture.

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