REPAIR OF SALMONELLA MYCOTIC-ANEURYSM OF THE PARAVISCERAL ABDOMINAL-AORTA USING IN-SITU PROSTHETIC GRAFT

Salomonella infection of the abdominal aorta is associated with a high mortality and morbidity, especially when the paravisceral segment is involved. The presentation may be. vague and a high index of suspicion is required in order to make the diagnosis early so that prompt treat ment can be instituted. Imaging techniques such as computed tomography and angiogram are useful in arriving at a diagnosis as well as planni ng of operation. The management of a patient with Salmonella mycotic a ortic aneurysm includes potent antibiotics, adequate debridement and r evascularization, The method of revascularization, in situ bypass or e xtra-anatomic bypass, has been the subject of controversy. In situ byp ass involves placing a graft in an infected field with potentially fat al graft infection, while extra-anatomic bypass has the problem of inf erior patency and the necessity of a future reconstruction. We report here a patient with Salmonella mycotic aneurysm of the paravisceral ab dominal aorta successfully treated with in situ prosthetic bypass graf t.