Abstract
A 67-year-old male patient presented with recurrent fever and septic emboli due to an aorto-duodenal fistula after previous aortobiiliac bypass grafting with suspected graft infection. Imaging by ultrasound, computed tomography scan (CT) and magnetic resonance imaging (MRI) could not confirm graft infection. A scan using 2-deoxy-2-fluoro-[18F]-d-glucose positron emission tomography CT (18F-FDG-PET/CT) revealed a pathological uptake. The bifurcated graft was removed und revascularization was performed by axillobifemoral bypass grafting. The clinical role of CT scanning with 18F-FDG-PET/CT is discussed including a review of the recent literature.
MeSH terms
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Aged
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Aorta, Abdominal / surgery*
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Aorta, Thoracic / surgery
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Aortic Diseases / diagnosis*
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Aortic Diseases / surgery
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Aortography
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Blood Vessel Prosthesis*
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Chronic Disease
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Cooperative Behavior
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Device Removal
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Duodenal Diseases / diagnosis*
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Duodenal Diseases / surgery
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Enterococcus faecalis*
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Fluorodeoxyglucose F18*
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Gram-Positive Bacterial Infections / diagnosis*
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Gram-Positive Bacterial Infections / surgery
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Humans
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Iliac Artery / surgery*
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Image Processing, Computer-Assisted*
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Interdisciplinary Communication
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Intestinal Fistula / diagnosis*
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Intestinal Fistula / surgery
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Klebsiella Infections / diagnosis*
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Klebsiella Infections / surgery
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Klebsiella pneumoniae*
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Leriche Syndrome / surgery*
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Male
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Positron-Emission Tomography*
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Postoperative Complications / diagnosis*
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Postoperative Complications / surgery
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Prosthesis-Related Infections / diagnosis*
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Prosthesis-Related Infections / surgery
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Reoperation
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Sensitivity and Specificity
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Tomography, X-Ray Computed*
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Vascular Fistula / diagnosis*
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Vascular Fistula / surgery