Abstract
Campylobacter jejuni infection is one of the most common bacterial causes of acute gastroenteritis worldwide. An extraintestinal manifestation is rare and, to our knowledge, an aortic aneurysm has until now never been documented. We report a case of a 72-year-old patient with a septic aortic pseudoaneurysm caused by C. jejuni infection. Computed tomography and magnetic resonance imaging showed a pseudoaneurysm in the abdominal aorta. The preoperative blood culture indicated a Gram-negative bacillus, which was identified 7 days later as C. jejuni. An aneurysmectomy, extensive debridement, and an in situ graft wrapped with the omentum were done, and the patient was given a 6-week course of antibiotics. Despite readmissions for abdominal infection and Salmonella bacteremia, a graft infection did not develop. In the 3 years since the procedure the patient has shown no signs of a relapse.
Similar content being viewed by others
References
Blaser MJ. Epidemiological and clinical features of Campylobacter jejuni infections. J Infect Dis 1997;176(suppl 2):S103–S105.
Wanby P, Olsen B. Myocarditis in a patient with salmonella and campylobacter enteritis. Scand J Infect Dis 2001;33:860–862.
Allos BM. Campylobacter jejuni infections: update on emerging issues and trends. Clin Infect Dis 2001;2:1201–1206.
Slutsker LA, Ries AA, Greene KD, Wells JG, Hutwagner L, Griffin PM. Escherichia coli O157:H7 diarrhea in the United States: clinical and epidemiological features. Ann Intern Med 1997;126:505–513.
Skirrow MB, Jones DM, Sutcliffe E, Benjamin J. Campylobacter bacteremia in England and Wales, 1981–1991. Epidemiol Infect 1993;110:567–573.
Luo CY, Ko WC, Kan CD, Lin PY, Yang YJ. In situ reconstruction of septic aortic pseudoaneurysm due to Salmonella or Streptococcus microbial aortitis: long-term follow-up. J Vasc Surg 2003;38:975–982.
Robinson JA, Johansen K. Aortic sepsis: is there a role for in situ graft reconstruction? J Vasc Surg 1991;13:677–682; discussion 682–4.
Rutherford EJ, Eakins JW, Maxwell JG, Tackett AD. Abdominal aortic aneurysm infected with Campylobacter fetus subspecies fetus. J Vasc Surg 1989;10:193–197.
Mii S, Tanaka K, Furugaki K, Sakata H, Katoh H, Mori A. Infected abdominal aortic aneurysm caused by Campylobacter fetus subspecies fetus: report a case. Surg Today 1998;28:661–664.
Goeau-Brissonniere O, Hardy C, Renier JF, Delorme G, Patel JC. Surgical treatment of infectious aneurysm of the popliteal artery. Description of a case caused by Campylobacter jejuni and a review of the literature (In French). J Chir (Paris) 1990;127:223–226.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Roan, JN., Ko, WC. & Luo, CY. Abdominal septic aortic pseudoaneurysm caused by Campylobacter jejuni infection: Report of a case. Surg Today 39, 137–140 (2009). https://doi.org/10.1007/s00595-008-3818-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00595-008-3818-3