A case of mycotic common iliac aneurysm in a patient with ventriculoperitoneal shunt

TL;DR

This paper reports a rare case of a mycotic aneurysm in a patient with a ventriculoperitoneal shunt, highlighting successful treatment and postoperative complications.

Contribution

The novelty lies in managing a complex mycotic aneurysm in a patient with a pre-existing shunt, leading to insights in surgical and postoperative care.

Findings

The patient's mycotic aneurysm was successfully managed with debridement and reconstruction.

Postoperative bacterial meningitis was likely due to shunt-related infection.

Abstract

Aortoiliac mycotic aneurysm is an uncommon and deadly condition associated with significant perioperative morbidity. We present a case of common iliac mycotic pseudoaneurysm managed with debridement, vessel ligation, and extra-anatomic reconstruction owing to systemic illness. Notably, the patient had an implanted ventriculoperitoneal shunt for a history of cerebral aneurysm and resulting hydrocephalus. This report discusses the ultimately successful management of a large aortoiliac mycotic aneurysm. The patient did contend with bacterial meningitis postoperatively, likely owing to an ascending infection of the aforementioned shunt.

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