PMC9592967_01
Images of CTA and endoscopy before treatments. (A) Endovascular repair and drainage had been performed when the patient was hospitalized. (B-D) A low-density shadow hinting at an abscess in the right psoas major muscle and around the stenting. (E) Fistulae in the horizontal part of duodenum found via endoscopy.
fcvm-09-975871-g001.jpg
PMC9592967_01_fcvm-09-975871-g001.jpg
F1
Computed tomography angiography (CTA) scan had revealed an infected abdominal aortic aneurysm (iAAA) with low-density image surrounding the AAA and the right iliac artery (Figure 1).
Images taken during the operation. (A) The stent in the abdominal artery was removed using an injector. (B,C) Pus and fistula were found surrounding the horizontal part of duodenum. (D) The infected abdominal aortic artery was replaced with a bovine pericardium biological mesh. There were many small masses around the abdomen. Pathological analysis showed this mass to be Schistosoma eggs. (E) A schematic diagram of the surgery in the horizontal part of duodenum.
fcvm-09-975871-g002.jpg
PMC9592967_01_fcvm-09-975871-g002.jpg
F2
The stents in the aneurysm were removed using an injector and supra (Figure 2) or infrarenal aortic cross-clamping technique.