A VARIANT OF A RARE CLINICAL COURSE OF LEFT ILIAC ARTERY FALSE ANEURYSM

A.V. Troitsky, A.I. Larin, Ye.P. Lysenko, A.P. Lejin, O.Ye. Netchaeva
Clinical Hospital №83,
Moscow, Russia

A clinical course and late surgical results in the patient with infected left iliac artery aneurysm are presented. Following abdominal trauma in June 1995 65 year old patient G. had false left iliac artery aneurysm, which was diagnosed 5 months later. Its size was steadily increased and caused deteriorated circulation in the left lower extremity and 1A stage ischemia. During disease there waspyrexia and left lower extremity paresis, which was progressing. With the aggravating acute ischemia the patient underwent aorta bifemoral replacement with a Gore-Tex graft. At operation it was found, that the 5th lumbar vertebral body and ligament were exposed. Two and a half months after discharge the patient was read-mitted with marked pyrexia, lumbar ishialgia and left lower extremity paresis. Examination revealed an abscess in the 5th lumbar vertebra and rupture into an intervertebral disk. On January 31, 1996 laminectomy L4/L5 was performed, a pulpous nucleus was removed vertebral abscess was emptied and drained. Abscess cavity cultures were positive for Salmonells Texas and it was found that the patient was a chronic Salmonella carrier. The patient took a course of specific therapy and was discharged in a satisfactory status with totally regressed clinical signs. He was reexamined 12, 16, 24 months after discharge. Neurologic symptoms were absent, no pyrexia, bilateral, brachio-malleolar 100% indeves unrestrained walking were present.

P. 123-133

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