CT-guided aspiration biopsy of infected aortic graft in a patient with hypertrophic osteoarthropathy. Saline injection to improve diagnostic yield--a case report

Acta Radiol. 2001 Jan;42(1):59-62. doi: 10.1080/028418501127346242.

Abstract

Unilateral hypertrophic osteoarthropathy can be a diagnostic clue to chronic infection of an aortic graft and aorto-enteric fistula. In a 62-year-old woman, non-invasive diagnostic procedures failed to prove the infection. CT-guided fine needle biopsy revealed the pathogens prompting re-intervention. The biopsy result was markedly improved by injecting physiologic saline into the perigraft tissue.

Publication types

  • Case Reports

MeSH terms

  • Aorta, Abdominal / surgery*
  • Biopsy, Needle / methods*
  • Blood Vessel Prosthesis / adverse effects*
  • Blood Vessel Prosthesis Implantation / adverse effects
  • Female
  • Humans
  • Iliac Artery / surgery
  • Injections
  • Intermittent Claudication / surgery
  • Magnetic Resonance Imaging
  • Middle Aged
  • Osteoarthropathy, Secondary Hypertrophic / diagnostic imaging
  • Osteoarthropathy, Secondary Hypertrophic / etiology*
  • Osteoarthropathy, Secondary Hypertrophic / pathology
  • Prosthesis-Related Infections / complications
  • Prosthesis-Related Infections / diagnostic imaging
  • Prosthesis-Related Infections / pathology*
  • Prosthesis-Related Infections / surgery
  • Radionuclide Imaging
  • Reoperation
  • Sodium Chloride* / administration & dosage
  • Tomography, X-Ray Computed*

Substances

  • Sodium Chloride