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Ruptured Mycotic Aortic Aneurysm after Bacille Calmette-Guerin Therapy
Nikolaos Floros1, Konstantinos Meletiadis1, Ulrich Kusenack1
1Department of Vascular Surgery, Bergisch Vascular Center, Clinic for Vascular Surgery, HELIOS Hospital Wuppertal, University of Witten/Herdecke, Wuppertal, Germany.
Abstract:
To report a case of a ruptured mycotic abdominal aortic aneurysm (MAA) after intravesical Bacille Calmette-Guerin (BCG) therapy because of bladder carcinoma. A 57-year-old male patient was admitted to our hospital for follow-up computed tomography 14 months after transurethral resection of a papillary carcinoma of the bladder and intravesical BCG therapy. The CT scan revealed a ruptured MAA aneurysm and the patient underwent an endovascular repair with an aorto-bi-iliac stent graft. A ruptured MAA is a rare but lethal complication after BCG instillation therapy. The standard therapy is the open reconstruction but according to the literature an endovascular therapy in combination with long-term antibiotics should be considered as a bridging or a definite solution.
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