Diagnosis of abdominal aortic prosthesis infection with FDG-PET/CT

Vasc Endovascular Surg. 2007 Oct-Nov;41(5):428-32. doi: 10.1177/1538574407305094.

Abstract

A 79-year-old man was referred with recurrent periods of fever and chills. Six years earlier an aortic bifurcation graft had been implanted. Blood examination showed elevated infection parameters. A regular computed tomographic (CT) scan in the previous hospital showed no signs of graft infection. When blood cultures revealed multiple enteric bacteria, a 2-deoxy-2-[F18]fluoro- d-glucose-positron emission tomographic/CT (FDG- PET/CT) scan was performed that demonstrated ring-shaped pathological uptake at the proximal anastomosis. The patient was operated on and an infected graft was found, with a 1-cm defect in the distal part of the duodenum. Bacterial cultures of the explanted graft were positive. The patient recovered well from surgery and is on a regimen of prolonged antibiotic and antimycotic treatment.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Anti-Infective Agents / therapeutic use
  • Aortic Aneurysm / surgery*
  • Blood Vessel Prosthesis / adverse effects*
  • Blood Vessel Prosthesis Implantation / instrumentation*
  • Device Removal
  • Fluorodeoxyglucose F18*
  • Humans
  • Male
  • Positron-Emission Tomography*
  • Predictive Value of Tests
  • Prosthesis-Related Infections / diagnosis*
  • Prosthesis-Related Infections / etiology
  • Prosthesis-Related Infections / microbiology
  • Prosthesis-Related Infections / therapy
  • Radiopharmaceuticals*
  • Tomography, X-Ray Computed*
  • Treatment Outcome

Substances

  • Anti-Infective Agents
  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18