Ruptured Mycotic Aortic Aneurysm after Bacille Calmette-Guerin Therapy
Floros, N.; Meletiadis, K.; Kusenack, U.; Zirngibl, H.; Kamper, L.; Haage, P.; Dreger, N.M.
Annals of Vascular Surgery 29(7): 1450.E1-4
ISSN/ISBN: 1615-5947 PMID: 26119640 DOI: 10.1016/j.avsg.2015.03.060
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.