Tuberculous abdominal aortic pseudoaneurysm penetrating the left psoas muscle after BCG therapy for bladder cancer

Cardiovasc Surg. 2003 Jun;11(3):231-5. doi: 10.1016/s0967-2109(03)00002-4.

Abstract

We describe a case of a 75-year-old man with abdominal aortic and right femoral tuberculous pseudoaneurysms 32 months after intravesical bacillus Calmette-Guerin therapy for bladder cancer. These aneurysms were probably brought on by systemic infection by Mycobacterium bovis. The infrarenal aorta and right common femoral artery were successfully replaced with an in situ expanded polytetrafluoroethylene graft. Tuberculous pseudoaneurysm after bacillus Calmette-Guerin therapy for malignancy is very rare, and we review the related literature.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Aneurysm, Infected / diagnostic imaging
  • Aneurysm, Infected / microbiology*
  • Aneurysm, Infected / surgery
  • Angiography, Digital Subtraction
  • Aortic Aneurysm, Abdominal / diagnostic imaging
  • Aortic Aneurysm, Abdominal / microbiology*
  • Aortic Aneurysm, Abdominal / surgery
  • BCG Vaccine / adverse effects*
  • BCG Vaccine / therapeutic use
  • Femoral Artery / diagnostic imaging
  • Femoral Artery / microbiology*
  • Femoral Artery / surgery
  • Humans
  • Male
  • Tomography, X-Ray Computed
  • Tuberculosis / diagnostic imaging
  • Tuberculosis / etiology*
  • Tuberculosis / surgery
  • Urinary Bladder Neoplasms / therapy*

Substances

  • BCG Vaccine