Infected Aortic Endograft

The patient previously underwent aortic aneurysm repair using endograft. Several years after the procedure the patient developed abdominal pain and fever.

The upper image above demonstrates the appropriate position of the endograft.

CT of the abdomen revealed the presence of air (white arrow on the bottom image) within the endograft indicating possible graft infection. Tagged WBC scan was also suggestive of infection.

The patient underwent endograft removal. The presence of the aorto-duodenal fistula was also discovered during surgery (not clearly evident on the above images).

Surprisingly, the patient did not have any evidence of gastrointestinal bleeding.