Infected Aortic Aneurysm with Infective Spondylitis in a Patient with Pre-Aortic Confluence of the Iliac Veins: An Unusual Triple Combination

It is uncommon for infective spondylitis to coexist with an infected aneurysm of the adjacent abdominal aorta. Also, pre-aortic confluence of the iliac veins or marsupial vena cava is a rare anatomical variant, which increases the potential for venous injury and hemorrhage during an emergency operat...

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Main Authors: Thilina Gunawardena, Manujaya Godakandage, Sachith Abeywickrama, Rezni Cassim, Mandika Wijeyaratne
Format: Article
Language:English
Published: Medrang 2021-12-01
Series:Vascular Specialist International
Subjects:
Online Access:https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.210066
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author Thilina Gunawardena
Manujaya Godakandage
Sachith Abeywickrama
Rezni Cassim
Mandika Wijeyaratne
author_facet Thilina Gunawardena
Manujaya Godakandage
Sachith Abeywickrama
Rezni Cassim
Mandika Wijeyaratne
author_sort Thilina Gunawardena
collection DOAJ
description It is uncommon for infective spondylitis to coexist with an infected aneurysm of the adjacent abdominal aorta. Also, pre-aortic confluence of the iliac veins or marsupial vena cava is a rare anatomical variant, which increases the potential for venous injury and hemorrhage during an emergency operation. Herein, we report the case of a 57-year-old male with these three pathologies, who was successfully treated with emergency open surgery. During surgery, we noted this anomaly and extensive destruction of the lumbar vertebral bodies. We discuss options to treat these rare pathologies with literature review.
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spelling doaj.art-366724ce296c49acbdcd72d3be842cfb2023-01-06T01:29:53ZengMedrangVascular Specialist International2288-79702288-79892021-12-013710.5758/vsi.210066vsi.210066Infected Aortic Aneurysm with Infective Spondylitis in a Patient with Pre-Aortic Confluence of the Iliac Veins: An Unusual Triple CombinationThilina Gunawardena0Manujaya Godakandage1Sachith Abeywickrama2Rezni Cassim3Mandika Wijeyaratne4University Vascular Surgical Unit, National Hospital of Colombo, Colombo, Sri LankaUniversity Vascular Surgical Unit, National Hospital of Colombo, Colombo, Sri LankaUniversity Vascular Surgical Unit, National Hospital of Colombo, Colombo, Sri LankaUniversity Vascular Surgical Unit, National Hospital of Colombo, Colombo, Sri LankaUniversity Vascular Surgical Unit, National Hospital of Colombo, Colombo, Sri LankaIt is uncommon for infective spondylitis to coexist with an infected aneurysm of the adjacent abdominal aorta. Also, pre-aortic confluence of the iliac veins or marsupial vena cava is a rare anatomical variant, which increases the potential for venous injury and hemorrhage during an emergency operation. Herein, we report the case of a 57-year-old male with these three pathologies, who was successfully treated with emergency open surgery. During surgery, we noted this anomaly and extensive destruction of the lumbar vertebral bodies. We discuss options to treat these rare pathologies with literature review.https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.210066infected aneurysmspondylitisinferior vena cavailiac veinmarsupial vena cava
spellingShingle Thilina Gunawardena
Manujaya Godakandage
Sachith Abeywickrama
Rezni Cassim
Mandika Wijeyaratne
Infected Aortic Aneurysm with Infective Spondylitis in a Patient with Pre-Aortic Confluence of the Iliac Veins: An Unusual Triple Combination
Vascular Specialist International
infected aneurysm
spondylitis
inferior vena cava
iliac vein
marsupial vena cava
title Infected Aortic Aneurysm with Infective Spondylitis in a Patient with Pre-Aortic Confluence of the Iliac Veins: An Unusual Triple Combination
title_full Infected Aortic Aneurysm with Infective Spondylitis in a Patient with Pre-Aortic Confluence of the Iliac Veins: An Unusual Triple Combination
title_fullStr Infected Aortic Aneurysm with Infective Spondylitis in a Patient with Pre-Aortic Confluence of the Iliac Veins: An Unusual Triple Combination
title_full_unstemmed Infected Aortic Aneurysm with Infective Spondylitis in a Patient with Pre-Aortic Confluence of the Iliac Veins: An Unusual Triple Combination
title_short Infected Aortic Aneurysm with Infective Spondylitis in a Patient with Pre-Aortic Confluence of the Iliac Veins: An Unusual Triple Combination
title_sort infected aortic aneurysm with infective spondylitis in a patient with pre aortic confluence of the iliac veins an unusual triple combination
topic infected aneurysm
spondylitis
inferior vena cava
iliac vein
marsupial vena cava
url https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.210066
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