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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">This case concerns a 75-year-old male patient with a history of arterial hypertension&#44; chronic renal failure in hemodialysis and carrier of a prosthesis due to an abdominal aortic aneurysm&#46; Six years after the implantation&#44; the patient presented episodes of gastrointestinal hemorrhage associated with prosthetic-duodenal fistula&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">We requested 2-deoxy-2-&#91;fluorine-18&#93;fluoro-<span class="elsevierStyleSmallCaps">d</span>-glucose positron emission tomography&#47;computed tomography &#40;<span class="elsevierStyleSup">18</span>F-FDG PET&#47;CT&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41; to rule out prosthetic infection&#46; The results showed increased periprosthetic uptake in the abdominal aortic portion located between L2 and L3 &#40;arrows&#41;&#46; The trajectory measured approximately 4<span class="elsevierStyleHsp" style=""></span>cm and presented a maximum standardized uptake value &#40;SUV<span class="elsevierStyleInf">max</span>&#41; of 6&#46;7 in the anterior wall&#44; which had thickened &#40;SUV for a normal aorta&#44; 2&#46;6&#41;&#44; which was probably related to the infectious&#47;inflammatory process in this area&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Posterior CT angiography &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41; showed an aortic aneurysm measuring 4<span class="elsevierStyleHsp" style=""></span>cm in diameter&#44; with a penetrating subrenal ulcer measuring 7&#46;7<span class="elsevierStyleHsp" style=""></span>mm in height and 5&#46;5<span class="elsevierStyleHsp" style=""></span>mm deep &#40;arrows&#41;&#44; as well as an aneurysm encompassing both iliac territories&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">The decision was made to perform a left axillobifemoral bypass&#46; During the immediate postoperative period&#44; the patient presented episodes of hematemesis and syncope&#46; Emergency surgery was performed with removal of the prosthetic and sectioning of the aortoduodenal fistula&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Pathology revealed a tubular segment of prosthetic material measuring 9<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>3<span class="elsevierStyleHsp" style=""></span>cm&#44; which presented coagulated hematologic material in its interior and attached fibrinoid residue in which ampicillin-sensitive <span class="elsevierStyleItalic">Enterococcus avium</span> was isolated&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleSup">18</span>F-FDG PET&#47;CT has therefore been shown to be a sensitive and useful technique for diagnosing infectious processes in vascular prostheses&#46;</p></span>"
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January - February 2020 Diagnostic orientation of abdominal aortic graft infection using 18F-FDG PET/CT
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Vol. 220. Issue 1.
Pages 71-72 (January - February 2020)
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Vol. 220. Issue 1.
Pages 71-72 (January - February 2020)
Medicine in Images
DOI: 10.1016/j.rceng.2018.12.001
Diagnostic orientation of abdominal aortic graft infection using 18F-FDG PET/CT
Orientación diagnóstica de infección de prótesis aorto abdominal mediante 18F-FDG PET/TC
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P.A. de la Riva-Pérez
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pabloadelariva@hotmail.com

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, F.J. García-Gómez, G. Sabatel-Hernández
Unidad de Gestión Clínica de Medicina Nuclear, Hospital Universitario Virgen Macarena, Sevilla, Spain
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