First case report of splenomegaly with splenic infarction due to aortic graft infection.

ABSTRACT:

Background

Diagnosis of aortic graft infections (AGI) is challenging. Here, we report a case of AGI with splenomegaly and splenic infarction.

Case presentation

A 46-year-old man who underwent total arch replacement for Stanford type A acute aortic dissection one year prior presented to our department with fever, night sweat, and a 20-kg weight loss over several months. Contrast-enhanced computed tomography (CT) revealed splenic infarction with splenomegaly, fluid collection, and thrombus around the stent graft. Positron emission tomography-CT (PET-CT) revealed abnormal ¹⁸F-fluorodeoxyglucose uptake in the stent graft and spleen. Transesophageal echocardiography revealed no vegetations. The patient was diagnosed with an AGI and underwent graft replacement. Blood an

SUBMITTER: Kim Y 

PROVIDER: S-EPMC10161471 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature