A CASE OF CONCOMITANT MYCOTIC ANEURYSM AND CARCINOMA OF THE TRANSVERSE COLON TREATED BY SIMULTANEOUS OPERATION

  • TOYA Naoki
    Department of Surgery, The Jikei University School of Medicine
  • FUJIE Yuka
    Department of Surgery, The Jikei University School of Medicine
  • FUKUDA Hisano
    Department of Surgery, The Jikei University School of Medicine
  • OGAWA Masaichi
    Department of Surgery, The Jikei University School of Medicine
  • TACHIHARA Hiromasa
    Department of Surgery, The Jikei University School of Medicine
  • YAMAZAKI Yoji
    Department of Surgery, The Jikei University School of Medicine

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  • 細菌性腸骨動脈瘤と横行結腸癌に対して一期的手術を施行した1例

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Abstract

A 72-year-old man was admitted to the hospital because of pyrexia and dry cough. After admission, he complained of a severe leg pain. Angiography demonstrated an iliac arterial embolism, which was successfully removed. Gram-negative rods existed in the thrombus. Under the diaignosis of endocarditis associated with mitral valvular prolapse syndrome, the patient was placed on antibiotics.<br> During its course, pelvic MRI and angiography revealed a left iliac arterial aneurysm. Colonoscopy showed the transverse colon carcinoma incidentally. For treatment of the concomitant mycotic aneurysm and colon carcinoma, we selected simultaneous operation. The patient followed an uneventful postoperative course.<br> There has been no another case of simultaneous operation for mycotic aneurysm associated with colon carcinoma other than our case as far as we could review. This uncommon case together with some bibliographical comments is presented.

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