A RARE PRESENTATION OF MYCOTIC PSEUDOANEURYSM OF EXTERNAL ILIAC ARTERY IN PATIENT OF PSOAS ABSCESS : CASE REPORT

Abstract

Mycotic pseudoaneurysms of the iliac arteries have been reported in patients with psoas abscesses. These mycotic pseudoaneurysms lead to complications in cases of trauma, surgical or interventional procedures. Here we report a case of mycotic pseudoaneurysms arising from the external iliac artery in a 48-year-old man who is a diagnosed case of HIV-AIDS for the last 15 years and on treatment since then. The patient presented as painful, tender swelling in the right lumbar and right iliac region. On ultrasonography, ndings were suggestive of psoas abscess and mycotic pseudoaneurysms of the external iliac artery. To further investigate the ultrasonographic ndings, contrast-enhanced computed tomography (CECT) was done. We present this case to highlight the importance of considering vascular complications as a differential diagnosis in patients presenting with mass or pressure symptoms in different parts of the body. If such lesions remain undiagnosed, then such lesions may result in serious consequences.