There discussed casuistics of the 64 years old man, who underwent urgent resection of perforated subrenal aortic aneurysm that expanded to both iliac arteries. Aortobifemoral bypass and packing of retroperitoneum were performed. The patient was operated for periprothetic abscess and aorto-enteric phistula three months later. Phistula was closed, infected prothesis was resected and replaced by new prothesis. Omentoplasty was added.

        Key words: perforated abdominal aortic aneurysm – periprothetic abscess – aorto-enteric phistula – resection of infected prothesis with new prothesis replacement – omentoplasty