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Vascular and Endovascular Surgery
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Diagnosis of Abdominal Aortic Prosthesis Infection With FDG-PET/CT

Hans Balink, MD

Department of Nuclear Medicine, Medical Centre Leeuwarden, Leeuwarden, hans.balink{at}znb.nl

Michel M. P. J. Reijnen, MD

Department of Surgery, Alysis Zorggroep, Locatie Rijnstate, Arnhem, The Netherlands

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.

Key Words: aortic prosthesis • infection • FDG-PET/CT

Vascular and Endovascular Surgery, Vol. 41, No. 5, 428-432 (2007)
DOI: 10.1177/1538574407305094
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This article has been cited by other articles:


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J. Wasselius, J. Malmstedt, B. Kalin, S. Larsson, A. Sundin, U. Hedin, and H. Jacobsson
High 18F-FDG Uptake in Synthetic Aortic Vascular Grafts on PET/CT in Symptomatic and Asymptomatic Patients
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[Abstract] [Full Text] [PDF]


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