Mycotic aneurysm with recurrent sepsis complicating post-transplant nephrectomy

T. J. Walsh, J. B. Zachary, G. M. Hutchins, S. Sterioff

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

A hypertensive 37-yr-old man underwent renal transplantation. The transplanted kidney was removed 5 days later, 21 mth before his death. He was maintained after transplantation by hemodialysis. His postoperative course was complicated by recurrent pseudomonal infection with bacteremia. He presented with symptoms of acute peritoneal irritation and hypovolemia followed by sudden death. Postmortem examination revealed that a saccular mycotic aneurysm of the left common iliac artery, at the site of the post-transplant nephrectomy, had ruptured into the peritoneal cavity. The case exemplifies postoperative mycotic aneurysm, the frequently obscure clinical findings of iliac artery aneurysms, and the need for a high index of suspicion of mycotic aneurysms in patients undergoing renal transplantation.

Original languageEnglish (US)
Title of host publicationJohns Hopkins Medical Journal
Pages85-94
Number of pages10
Volume141
Edition2
StatePublished - 1977

Fingerprint

Infected Aneurysm
Nephrectomy
Sepsis
Iliac Artery
Transplants
Kidney Transplantation
Iliac Aneurysm
Hypovolemia
Peritoneal Cavity
Bacteremia
Sudden Death
Aneurysm
Renal Dialysis
Autopsy
Transplantation
Kidney
Infection

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Walsh, T. J., Zachary, J. B., Hutchins, G. M., & Sterioff, S. (1977). Mycotic aneurysm with recurrent sepsis complicating post-transplant nephrectomy. In Johns Hopkins Medical Journal (2 ed., Vol. 141, pp. 85-94)

Mycotic aneurysm with recurrent sepsis complicating post-transplant nephrectomy. / Walsh, T. J.; Zachary, J. B.; Hutchins, G. M.; Sterioff, S.

Johns Hopkins Medical Journal. Vol. 141 2. ed. 1977. p. 85-94.

Research output: Chapter in Book/Report/Conference proceedingChapter

Walsh, TJ, Zachary, JB, Hutchins, GM & Sterioff, S 1977, Mycotic aneurysm with recurrent sepsis complicating post-transplant nephrectomy. in Johns Hopkins Medical Journal. 2 edn, vol. 141, pp. 85-94.
Walsh TJ, Zachary JB, Hutchins GM, Sterioff S. Mycotic aneurysm with recurrent sepsis complicating post-transplant nephrectomy. In Johns Hopkins Medical Journal. 2 ed. Vol. 141. 1977. p. 85-94
Walsh, T. J. ; Zachary, J. B. ; Hutchins, G. M. ; Sterioff, S. / Mycotic aneurysm with recurrent sepsis complicating post-transplant nephrectomy. Johns Hopkins Medical Journal. Vol. 141 2. ed. 1977. pp. 85-94
@inbook{eaad4ee90222463faf182adaea65ec04,
title = "Mycotic aneurysm with recurrent sepsis complicating post-transplant nephrectomy",
abstract = "A hypertensive 37-yr-old man underwent renal transplantation. The transplanted kidney was removed 5 days later, 21 mth before his death. He was maintained after transplantation by hemodialysis. His postoperative course was complicated by recurrent pseudomonal infection with bacteremia. He presented with symptoms of acute peritoneal irritation and hypovolemia followed by sudden death. Postmortem examination revealed that a saccular mycotic aneurysm of the left common iliac artery, at the site of the post-transplant nephrectomy, had ruptured into the peritoneal cavity. The case exemplifies postoperative mycotic aneurysm, the frequently obscure clinical findings of iliac artery aneurysms, and the need for a high index of suspicion of mycotic aneurysms in patients undergoing renal transplantation.",
author = "Walsh, {T. J.} and Zachary, {J. B.} and Hutchins, {G. M.} and S. Sterioff",
year = "1977",
language = "English (US)",
volume = "141",
pages = "85--94",
booktitle = "Johns Hopkins Medical Journal",
edition = "2",

}

TY - CHAP

T1 - Mycotic aneurysm with recurrent sepsis complicating post-transplant nephrectomy

AU - Walsh, T. J.

AU - Zachary, J. B.

AU - Hutchins, G. M.

AU - Sterioff, S.

PY - 1977

Y1 - 1977

N2 - A hypertensive 37-yr-old man underwent renal transplantation. The transplanted kidney was removed 5 days later, 21 mth before his death. He was maintained after transplantation by hemodialysis. His postoperative course was complicated by recurrent pseudomonal infection with bacteremia. He presented with symptoms of acute peritoneal irritation and hypovolemia followed by sudden death. Postmortem examination revealed that a saccular mycotic aneurysm of the left common iliac artery, at the site of the post-transplant nephrectomy, had ruptured into the peritoneal cavity. The case exemplifies postoperative mycotic aneurysm, the frequently obscure clinical findings of iliac artery aneurysms, and the need for a high index of suspicion of mycotic aneurysms in patients undergoing renal transplantation.

AB - A hypertensive 37-yr-old man underwent renal transplantation. The transplanted kidney was removed 5 days later, 21 mth before his death. He was maintained after transplantation by hemodialysis. His postoperative course was complicated by recurrent pseudomonal infection with bacteremia. He presented with symptoms of acute peritoneal irritation and hypovolemia followed by sudden death. Postmortem examination revealed that a saccular mycotic aneurysm of the left common iliac artery, at the site of the post-transplant nephrectomy, had ruptured into the peritoneal cavity. The case exemplifies postoperative mycotic aneurysm, the frequently obscure clinical findings of iliac artery aneurysms, and the need for a high index of suspicion of mycotic aneurysms in patients undergoing renal transplantation.

UR - http://www.scopus.com/inward/record.url?scp=0017742441&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0017742441&partnerID=8YFLogxK

M3 - Chapter

C2 - 328972

AN - SCOPUS:0017742441

VL - 141

SP - 85

EP - 94

BT - Johns Hopkins Medical Journal

ER -