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. 2008 Jul 24;70(3):138–141. doi: 10.1007/s12262-008-0038-4

Ruptured inflammatory aortic aneurysm with aortoenteric fistula and infected with Streptococcus pneumoniae: a review of the literature

M Sintler 1, N Howell 1, A Mahmood 1, R K Vohra 1,✉
PMCID: PMC3452448  PMID: 23133042

Abstract

We present a case report of a 65-year-old gentleman who presented with an aortoenteric fistula along with a review of the literature. He was found, in addition, to have an inflammatory infrarenal aortic aneurysm with a posterior rupture. Cultures of the aneurysm sac confirmed a Streptococcus pneumoniae infection. The patient had previously presented with pneumonia. Antibody testing revealed an isolated pneumococcal IgG deficiency. The case demonstrates the diverse pathologies associated with aortic aneurysms and a need to be vigilant and occasionally expect the unusual.

Keywords: Abdominal aorta, Aneurysm, Inflammatory aneurysm, Mycotic, Streptococcus pneumoniae, Fistula, Aortoenteric

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