Images in Surgery| Volume 144, ISSUE 1, P103-104, July 2008

Iatrogenic sigmoid perforation by aortobifemoral left graft limb

Published:December 21, 2007DOI:
      A 76-year-old patient, submitted 10 months earlier to aortobifemoral bypass for abdominal aortic aneurysm repair at another institution, was admitted for sepsis likely due to graft infection. His medical history was also relevant for chronic renal disease (creatinine 1.6 mg/dL), previous myocardial infarction, and percutaneous coronary angioplasty, and chronic obstructive pulmonary disease. Two months after surgery, the patient had undergone surgical repair of an infected left femoral pseudoaneurysm. The following postoperative course had been characterized by a persistent septic state due to Pseudomonas Aeruginosa, as detected by cultures, unresponsive to conservative therapy.
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