J Korean Soc Vasc Surg.  1999 Nov;15(2):327-331.

Multiple Arterial Aneurysms in Cerebral Palsy Patient

• Cho WH
• Kim HT
• Song WH
• Kim HS
• Kim DK
• Kim H
• Kang YW

Abstract

A 36-year-old man presented abrupt onset of epigastric pain with high fever for one week after pork meal. Extensive diagnostic studies including blood, urine and stool cultures and other inflammatory factors were done but only leukocytosis, 1:160 for H Ag of widal test, and increased FDP were positive findings. Abdominal CT showed multifocal hepatic and splenic arterial aneurysms which grew very rapidly during these 10 days. Emergency exploration and ligation at either side of common hepatic artery and the proximal segment of right hepatic artery were done because of impending rupture. The histologic findings of the excised aneurysmal wall were diffuse infiltration of inflammatory cells and medial necrosis. Several other arterial aneurysms at right brachial, left carotid and branch of superior mesenteric artery were identified on the follow up angiogram. Also noted right brachial artery thrombosis in aneurysmal dilatation site and this was treated by continuous intraarterial infusion of urokinase. Even though the patient had no endocarditis and no growth of blood culture, we consider this multiple artery aneurysms as an infected aneurysm by unknown bacteremia due to pork meal.

Keyword

Multiple artery aneurysm; Infected aneurysm; Hepatic artery aneurysm

MeSH Terms

Adult
Aneurysm*
Aneurysm, Infected
Arteries
Bacteremia
Brachial Artery
Cerebral Palsy*
Dilatation
Emergencies
Endocarditis
Fever
Follow-Up Studies
Hepatic Artery
Humans
Infusions, Intra-Arterial
Leukocytosis
Ligation
Meals
Mesenteric Artery, Superior
Necrosis
Rupture
Thrombosis
Tomography, X-Ray Computed
Urokinase-Type Plasminogen Activator
Urokinase-Type Plasminogen Activator