Infected Pseudoaneurysm of the Left Common Iliac Artery Treated by In Situ Graft Replacement Using a Rifampicin-soaked Dacron Graft

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  • 感染性左総腸骨動脈瘤にリファンピシン含浸人工血管で再建術を施行した1例

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We report a case of infected pseudoaneurysm of left common iliac artery in a 67-year-old man whose past history was diabetes mellitus and angina pectoris. He presented abscess of the left thigh and high fever caused by Klebsiella pneumoniae. Infected pseudoaneurysm of the left common iliac artery, caused by prolonged sepsis, was found on computer tomography. So resection of aneurysm and in-situ replacement by a rifampicin-soaked Dacron graft was performed immediately after diagnosis of the infected pseudoaneurysm. He was followed up with intravenous infusion of antibiotic therapy after surgery, for 28 days, and has been doing well with no recurrence of infection, and with no oral antibiotics. He was followed for one year after the operation and had a good course without reinfection.

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