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Diagnosis of Bleeding Mycotic Iliac Aneurysm on Technetium-99m Renal Scan

Department of Radiology, The Toronto Hospital—Western Division, Toronto, Ontario, Canada

Correspondence: For reprints contact: Harry Meindok, MD, Department of Radiology, The Toronto Hospital—Western Division, 399 Bathurst St., Toronto, Ontario, Canada M5T 2S8.

ABSTRACT

Since abdominal aneurysms are common in the elderly, it is not unusual to see incidental aneurysms on renal scintigraphy performed for other reasons. However, the initial discovery of a bleeding aneurysm on a renal scan in a patient with salmonella septicemia who has no other obvious focus of infection should be considered suspicious for mycotic aneurysm. A prompt diagnosis is crucial to avoid catastrophic outcome associated with delayed surgical intervention.