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Korean J Med > Volume 88(5); 2015 > Article
The Korean Journal of Medicine 2015;88(5): 570-575.
간농양 환자에서 발생된 가성동맥류 형성을 동반한 다발성 감염성 동맥염
이승헌, 김계훈, 조재영, 안영근, 정명호, 조정관, 박종춘
전남대학교 의과대학 내과학교실 순환기내과
A Case of Multiple Infectious Arteritis Complicated by Pseudoaneurysm Formation in a Patient with Liver Abscess
Seunghun Lee, Kye Hun Kim, Jae Yeong Cho, Youngkeun Ahn, Myung Ho Jeong, Jeong Gwan Cho, Jong Chun Park
Division of Cardiology, Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea
Corresponding Author: Kye Hun Kim ,Tel: +82-62-220-6978, Fax: +82-62-223-3105, Email: christiankyehun@hanmail.net
Received: September 4, 2014;   Revised: September 23, 2014;   Accepted: October 24, 2014.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Infectious arteritis is a rare complication of liver abscess, and infectious arteritis involving multiple arterial sites with pseudoaneurysm formation has not been described previously. A 74-year-old man treated for liver abscess complained of abdominal and neck pain. Abdominal computed tomographic angiography (CTA) revealed a decrease in the size of the liver abscess, but also disclosed a pseudoaneurysm in the distal descending thoracic aorta was newly noted. Neck CTA revealed arteritis with abscess formation in the left internal carotid artery (ICA). Follow-up CTA after antibiotic therapy showed a decrease in the size of the left ICA abscess and a significant increase in the size of the aortic pseudoaneurysm. To prevent the rupture of the pseudoaneurysm, an endovascular stent graft was used. The final CTA revealed the disappearance of the aortic pseudoaneurysm with good apposition of the grafted stent. The patient has been monitored for 3 years with no new clinical events.
Keywords: Pseudoaneurysm; Liver abscess; Endovascular procedures
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