Mycotic abdominal aortic aneurysm: A fatal sequel to concomitant prostaticand renal aspergillosis - Case report and review of the literature

We report the first case of aspergillus mycotic aneurysm as a sequel to con comitant prostatic and renal aspergillosis. The patient had undergone left nephrectomy and transurethral resection of prostate for aspergillus infecti on one year ago. He again presented with LUTS and backache and clinical exa mination showed visible pulsations in the epigastrium. CT-scan abdomen show ed a pseudoaneurysm of the abdominal aorta. The aneurysm was repaired in si tu with homografting and omental wrap. However, the patient succumbed to se pticemia on the tenth postoperative day. Adjunctive surgery is usual ly ess ential as medical management alone has been unsatisfactory. It is imperativ e that these cases should be followed closely to detect the disease recurre nce and complications at the earliest. Copyright (C) 2001 S. Karger AG, Bas el.