Presence of periaortic gas in Clostridium septicum-infected aortic aneurysm aids in early diagnosis: a case report and systematic review of the literature

Ito, Fumihito; Inokuchi, Ryota; Matsumoto, Akinori; Kumada, Yoshibumi; Yokoyama, Hideyuki; Ishida, Tokiya; Hashimoto, Katsuhiko; Narita, Masashi; Shinohara, Kazuaki

doi:10.1186/s13256-017-1422-0

Journal of Medical Case Reports

Table 1 Systematic review of Clostridium septicum-infected aortic aneurysm cases reported in the English literature

From: Presence of periaortic gas in Clostridium septicum-infected aortic aneurysm aids in early diagnosis: a case report and systematic review of the literature

First author and Reference number	Year of publication	Age	Sex	Process	Location	Neoplasm	Surgery	Outcome	Name, duration of antibiotics after surgery for infectious aortic aneurysm
Bridges [16]	1981	68	M	Aneurysm	Infrarenal	Unknown	Axillobifemoral bypass, omental patch	Alive, duration unknown	Penicillin → erythromycin, several months
Semel [17]	1984	60	F	Aneurysm	Ascending/arch	Transverse colon adenocarcinoma	Partial colectomy	Died 20 hours postoperation (cardiac tamponade)
Momont [18]	1989	85	F	Dissection/aneurysm	Ascending/arch	Cecal adenocarcinoma	None	Died
Brahan [19]	1990	70	F	Aneurysm	Arch/descending	Ascending colon adenocarcinoma	In situ graft, resection of pulmonary artery to aneurysm fistula	Alive at 36 months	Penicillin G 5 weeks → oral penicillin, duration unknown
							Right hemicolectomy
Hurley [20]	1991	67	M	Aneurysm	Infrarenal	Rectal, colonic adenomas	Right axillobifemoral bypass, aneurysm resection, omental flap	Alive at 9 months	Penicillin G 6 weeks → oral penicillin and clindamycin, duration unknown
							Left due to infected right graft, polypectomy
Christensen [21]	1993	74	F	Aneurysm	Juxtarenal	None	None	Died
Messa [22]	1995	77	M	Double aneurysm	Descending thoracic/juxtarenal	Sigmoid adenocarcinoma	In situ thoracic graft with omental flap and axillobifemoral bypass	Alive at 4 months	Penicillin, duration unknown → oral penicillin for chronic suppression therapy
Murphy [23]	1996	78	M	Aneurysm	Proximal descending thoracic	Benign sigmoid polyps	In situ graft and esophagectomy	Alive at 6 months	Penicillin and clindamycin, duration unknown
Sailors [24]	1996	74	F	Aneurysm	Thoracoabdominal	None	In situ	Died 13 weeks postoperatively (pseudoaneurysm rupture)	Vancomycin and ampicillin/sulbactam, 5 days → penicillin G, 12 weeks total
								during a distal anastomosis 14 weeks later
Monsen [25]	1997	81	M	Dissection	Ascending to infrarenal	Cecal adenocarcinoma	In situ	Died 5 hours postoperatively
Montoya [26]	1997	78	M	Aneurysm	Descending thoracic	Cecal adenocarcinoma	None	Died 16 hours after admission
Cohen [27]	1998	77	M	Abscess/dissection	Aortic root/ascending	Cecal adenocarcinoma	Right hemicolectomy	Died 23 days postoperatively
Johnson [28]	1999	78	M	Aneurysm	Infrarenal	Unknown	None	Died on hospital day 6
Foga [29]	2000	56	M	Aneurysm	Infrarenal	Crohn's disease	Surgery performed for the aortic aneurysm, but surgical style was unclear	Alive, duration unknown	Unknown
Morrison [30]	2001	71	M	Aneurysm	Thoracoabdominal	Ascending colon adenocarcinoma	In situ	Alive at 36 months	Broad-spectrum intravenous antibiotics → penicillin, 8 weeks → oral penicillin, duration unknown
Al Bahrani [31]	2001	63	M	Aneurysm	Infrarenal	Ascending colon adenocarcinoma	Unspecified reconstruction, right hemicolectomy	Alive, duration unknown	Unknown
Munshi [32]	2002	78	M	Aneurysm	Infrarenal	Cecal adenoma	None	Died 1 month later of renal failure
Zenati [33]	2002	87	M	Aneurysm/dissection	Left subclavian artery to abdominal	Cecal adenocarcinoma	None	Died on hospital day 6
Liechti [34]	2003	55	M	Aneurysm	Infrarenal	Transverse colon adenocarcinoma	Transverse colectomy, exploration of aorta	Died 5 months after admission
							Without resection 3 months later
Takano [35]	2003	69	M	Aneurysm	Infrarenal	Ascending colon adenocarcinoma	In situ with omental flap revised to a rectus abdominus flap	Alive at 60 months	Imipenem/cilastatin, duration unknown
							Right hemicolectomy
Davies [36]	2003	63	M	Aneurysm	Infrarenal	Unknown	Axillobifemoral bypass	Died 2 days postoperatively
Rucker [37]	2004	77	F	Aneurysm	Infrarenal	Cecal adenocarcinoma	Axillobifemoral bypass, right colectomy	Died 42 days postoperatively	Unknown
Rucker [37]	2004	91	F	Aortitis	Superior mesenteric artery to iliac arteries	Ascending colon adenocarcinoma	Right colectomy	Unknown
Evans [38]	2004	91	F	Aortitis	Abdominal	Transverse colon adenocarcinoma	Extended right hemicolectomy	Dead at 5 months
Mohamed [39]	2006	82	M	Aneurysm	Juxtarenal	Ascending colon adenocarcinoma	In situ graft, right hemicolectomy	Alive at 15 months	Piperacillin, 8 weeks
Asciutto [40]	2007	71	M	Aneurysm	Juxtarenal	Ascending colon adenocarcinoma	In situ graft, right hemicolectomy	Alive at 2 months	Meropenem, 5 days → penicillin G, 25 days, for 30 days total
Laudito [41]	2008	74	F	Aortitis/dissection	Arch	Descending colon adenocarcinoma	Axillobifemoral bypass	Alive, duration unknown	Unknown
Seder [6]	2009	75	M	Aneurysm	Infrarenal	Ascending colon adenocarcinoma	Axillobifemoral bypass, right hemicolectomy	Died 4 months later of recurrent aortitis	56 days total (ciprofloxacin, 14 days; metronidazole, 42 days; vancomycin, 42 days)
Seder [6]	2009	76	F	Aneurysm	Juxtarenal	Cecal adenocarcinoma	Axillobifemoral bypass, right hemicolectomy	Died on hospital day 94
Gai [42]	2009	76	F	Aortitis/dissection	Arch	Colon adenocarcinoma	Axillobifemoral bypass, hemicolectomy	Unknown	Unknown
Yang [43]	2009	22	M	Aortitis/dissection	Thoracoabdominal	None	None	Died 8 hours after admission
Moseley [44]	2010	82	M	Aortitis	Infrarenal aorta to right common iliac artery	Cecal adenocarcinoma	Right hemicolectomy	Died 75 days after admission
Granier [7]	2011	83	M	Aortitis	Descending thoracic	Unknown	None	Died a few hours after admission
Mao [45]	2011	73	M	Aortitis	Unknown	Ascending colon adenocarcinoma	None	Died
Demidovich [46]	2012	69	F	Aneurysm	Descending thoracic	Unknown	None	Died a few hours after admission
Annapureddy [47]	2012	69	M	Aortitis	Infrarenal	Diverticulosis	Axillobifemoral bypass	Alive at 6 months	Oral amoxicillin was administered for chronic suppression therapy
Ge [48]	2012	87	M	Aortitis	Abdominal	Sigmoid adenocarcinoma	None	Dead at 5 weeks
Khalid [49]	2012	77	M	Aneurysm	Abdominal	Colon adenocarcinoma	In situ graft	Alive at 4 weeks	Details are unknown, but chronic suppression therapy was administered via oral antibiotics.
Our case	####	58	M	Aneurysm	Thoracoabdominal	Unknown	Bilateral nephrectomy	Died 10 days postoperatively
Tokmaji [50]	2013	71	M	Aneurysm	Abdominal	Ulcerative colitis (cancer not investigated)	Right axillofemoral and femoral-femoral bypass	Alive at 2 months, at which time an aneurysm reoccurred	Details and duration are unknown, but intravenous antibiotics were used.
								at the aortic arch; therefore, surgery was performed
Eplinius [51]	2014	32	M	Aortitis/dissection	Ascending to descending thoracic	None	None	Died
Al Hadi [52]	2014	63	M	Aneurysm	Arch	Ascending colon adenocarcinoma	Right hemicolectomy	Died 3 days after right hemicolectomy
Hashimoto [53]	2014	81	M	Aneurysm	Arch/descending	Cecal adenocarcinoma	None	Died 6 days after admission
Lintin [54]	2014	78	F	Aneurysm	Arch	Ascending colon adenocarcinoma	Endovascular aortic repair and extra-anatomical bypass of the supra-aortic	Alive at 44 months	Details and duration are unknown, but antibiotics were used.
							vessels with a right-to-left common carotid crossover bypass and
							a left common carotid to left subclavian bypass
							Right hemicolectomy
Shah [55]	2015	73	F	Aortitis	Thoracoabdominal	Cecal adenocarcinoma	None	Died 13 days later
Tabasum [56]	2015	79	F	Aortitis	Ascending/arch	Cecal adenocarcinoma	Endovascular aortic repair right carotid–carotid and	Alive at 61 months	11 days each of meropenem and metronidazole → oral co-amoxiclav duration unknown
							left carotid subclavian bypass

F female, M male

Back to article page

ISSN: 1752-1947

Contact us

Submission enquiries: Access here and click Contact Us
General enquiries: info@biomedcentral.com