Fig. 10
From: Aortic emergencies—diagnosis and treatment: a pictorial review
Mycotic abdominal aortic aneurysm. The 51-year-old female patient presented with abdominal/lumbar discomfort and sub-febrile temperatures. A lumbar MRI demonstrated no spondylodiscitis and a small abdominal aortic aneurysm with 35 mm diameter. One month later the abdominal aortic diameter had grown to 52 mm (b–c) and PET-CT (c–e) demonstrated wall thickening and PET uptake in the aortic wall and an atypical eccentric aneurysm presentation in coronal reformations (e). This was the only spot of infectious arthritis. Endocarditis of the mitral valve was demonstrated to be the focus. Additionally infectious arthritis of the left AC joint was treated by resection. Surgical reconstruction with deep vein (f) was performed; surgery confirmed a contained rupture and an aorto-duodenal fistulae