A case of mycotic infrarenal abdominal aortic aneurysm after bacillus Calmette-Guérin immunotherapy for bladder cancer and a review of the literature.

BCG vaccine Bladder cancer Mycotic aneurysm

Journal

Journal of vascular surgery cases and innovative techniques
ISSN: 2468-4287
Titre abrégé: J Vasc Surg Cases Innov Tech
Pays: United States
ID NLM: 101701125

Informations de publication

Date de publication:
Sep 2023
Historique:
received: 30 01 2023
accepted: 24 04 2023
medline: 30 6 2023
pubmed: 30 6 2023
entrez: 30 6 2023
Statut: epublish

Résumé

A 69-year-old patient presented with a 9-month history of constitutional symptoms and a 3-week history of increasing abdominal and back pain. He had a history of bacillus Calmette-Guérin immunotherapy for bladder cancer 9 months earlier. An infrarenal mycotic aneurysm was detected by positron emission tomography-computed tomography. His abdominal aorta was reconstructed using a tube graft tailored from a bovine pericardium sheet. We chose this graft because of its acellular nature and reduced risk of postoperative infection. The culture from the aortic wall yielded acid fast bacilli, and he was treated with antituberculosis medication. His postoperative recovery was uneventful, except for chylous ascites.

Identifiants

pubmed: 37388673
doi: 10.1016/j.jvscit.2023.101213
pii: S2468-4287(23)00122-3
pmc: PMC10300401
doi:

Types de publication

Case Reports

Langues

eng

Pagination

101213

Informations de copyright

Crown Copyright © 2023 Published by Elsevier Inc. on behalf of Society for Vascular Surgery.

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Auteurs

Vinojan Satchithanantham (V)

Department of Vacular Surgery, Lancashire Teaching Hospitals NHS Foundation Trust, Fulwood, United Kingdom.
Department of Surgery, Faculty of Medicine, University of Jaffna, Jaffna, Srilanka.

Thamer Babiker (T)

Lancashire Teaching Hospitals NHS Foundation Trust, Fulwood, United Kingdom.

Graham Riding (G)

Lancashire Teaching Hospitals NHS Foundation Trust, Fulwood, United Kingdom.

Mohamed Banihani (M)

Lancashire Teaching Hospitals NHS Foundation Trust, Fulwood, United Kingdom.

Classifications MeSH