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Title: | Multiorganism sepsis secondary to enteric aorto-iliac graft fistulation |
Authors: | Gatt, Kelly Ellul, Pierre Schembri, John |
Keywords: | Septicemia Enteroscopy Fistula Bacteremia Tomography |
Issue Date: | 2020 |
Publisher: | BMJ Group |
Citation: | Gatt, K., Ellul, P., & Schembri, J. (2020). Multiorganism sepsis secondary to enteric aorto-iliac graft fistulation. BMJ Case Reports CP, 13(5), e234936. |
Abstract: | A woman in her early 70s with a history of infrarenal aortic endarterectomy and aorto-bi-iliac Dacron grafting 4 years before presented with recurrent septicaemias, occasionally polymicrobial and caused by a wide variety of organisms. After treatment for her sixth bacteraemia, enteroscopy showed a small area of ulceration with synthetic graft material protruding into the distal duodenal lumen. This was followed by positron emission tomography/CT, which showed mild increase in tracer uptake in the same region localised by a previously placed haemoclip. Despite urgent vascular surgery to repair the duodenal fistulas and replace the grafts, the patient passed away. Our patient posed a diagnostic challenge due to repeated imaging studies of different modalities and routine endoscopy failing to show a source of sepsis. It is unique due to the variety of organisms cultured as a result of the enteric fistula. |
URI: | https://www.um.edu.mt/library/oar/handle/123456789/120353 |
Appears in Collections: | Scholarly Works - FacM&SMed |
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Multiorganism_sepsis_secondary_to_enteric_aorto_iliac_graft_fistulation_2020.pdf Restricted Access | 655.68 kB | Adobe PDF | View/Open Request a copy |
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