Ruptured Aortic Aneurysm Secondary to Psoas abscess after Intravesical Bacilli Calmette-Guérin
- Author:
Ashish Khandelwal
;
Ankur Gupta
;
Vivek Virmani
;
Kanika Khandelwal
- Publication Type:Case Reports
- From:
The Medical Journal of Malaysia
2012;67(5):534-535
- CountryMalaysia
- Language:English
-
Abstract:
Bacillus Calmette-Guérin (BCG) is a live attenuated strain of Mycobacterium bovis that has been used as effective
treatment for early-stage transitional carcinoma of the
urinary bladder. We present a case of a 68 year old man who
had an abdominal aortic aneurysm following BCG therapy
for bladder cancer. Contrast enhanced computerized
tomogram (CECT) of abdomen and pelvis revealed bilateral
hypodense lesions suggestive of psoas abscesses. In
addition, a saccular abdominal aortic aneurysm measuring
4x3.6 cm involving infrarenal aorta with surrounding
hematoma was seen. At surgery, he was found to have a
psoas abscess and hemorrhage. He underwent ligation of
the aorta and an axillary-bifemoral bypass. He was given one year of anti-tubercular therapy to which he responded
clinically.
