Acalculous Gangrenous Cholecystitis Coexisting with a Mycotic Suprarenal Aortic Aneurysm

Mycotic suprarenal aortic aneurysms are rare, and most often caused by bacteraemic spread. Acalculous cholecystitis is usually associated with major surgery and trauma. An association between acalculous gangrenous cholecystitis and a mycotic suprarenal aortic aneurysm has not been described. We present a case of a perforated gangrenous cholecystitis with an adjacent suprarenal abdominal aortic mycotic aneurysm, presenting a challenging surgical case.