A case of mycotic infrarenal abdominal aortic aneurysm after bacillus Calmette-Guérin immunotherapy for bladder cancer and a review of the literature
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 emissi...
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Format: | Article |
Language: | English |
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Elsevier
2023-09-01
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Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428723001223 |
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author | Vinojan Satchithanantham, MD, FEBVS, FRCSEd Thamer Babiker, MRCS Graham Riding, FRCS Mohamed Banihani, MD, FRCSEd |
author_facet | Vinojan Satchithanantham, MD, FEBVS, FRCSEd Thamer Babiker, MRCS Graham Riding, FRCS Mohamed Banihani, MD, FRCSEd |
author_sort | Vinojan Satchithanantham, MD, FEBVS, FRCSEd |
collection | DOAJ |
description | 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. |
first_indexed | 2024-03-11T21:34:31Z |
format | Article |
id | doaj.art-1a0ae2a28d6d4e7195019d20f41940dd |
institution | Directory Open Access Journal |
issn | 2468-4287 |
language | English |
last_indexed | 2024-03-11T21:34:31Z |
publishDate | 2023-09-01 |
publisher | Elsevier |
record_format | Article |
series | Journal of Vascular Surgery Cases and Innovative Techniques |
spelling | doaj.art-1a0ae2a28d6d4e7195019d20f41940dd2023-09-27T04:43:38ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872023-09-0193101213A case of mycotic infrarenal abdominal aortic aneurysm after bacillus Calmette-Guérin immunotherapy for bladder cancer and a review of the literatureVinojan Satchithanantham, MD, FEBVS, FRCSEd0Thamer Babiker, MRCS1Graham Riding, FRCS2Mohamed Banihani, MD, FRCSEd3Department of Vacular Surgery, Lancashire Teaching Hospitals NHS Foundation Trust, Fulwood, United Kingdom; Department of Surgery, Faculty of Medicine, University of Jaffna, Jaffna, Srilanka; Correspondence: Vinojan Satchithanantham, MD, FEBVS, FRCSEd, Department of Vascular Surgery, Faculty of Medicine, University of Jaffna, Aadiyapatham Rd, Jaffna 00400, SrilankaLancashire Teaching Hospitals NHS Foundation Trust, Fulwood, United KingdomLancashire Teaching Hospitals NHS Foundation Trust, Fulwood, United KingdomLancashire Teaching Hospitals NHS Foundation Trust, Fulwood, United KingdomA 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.http://www.sciencedirect.com/science/article/pii/S2468428723001223BCG vaccineBladder cancerMycotic aneurysm |
spellingShingle | Vinojan Satchithanantham, MD, FEBVS, FRCSEd Thamer Babiker, MRCS Graham Riding, FRCS Mohamed Banihani, MD, FRCSEd A case of mycotic infrarenal abdominal aortic aneurysm after bacillus Calmette-Guérin immunotherapy for bladder cancer and a review of the literature Journal of Vascular Surgery Cases and Innovative Techniques BCG vaccine Bladder cancer Mycotic aneurysm |
title | A case of mycotic infrarenal abdominal aortic aneurysm after bacillus Calmette-Guérin immunotherapy for bladder cancer and a review of the literature |
title_full | A case of mycotic infrarenal abdominal aortic aneurysm after bacillus Calmette-Guérin immunotherapy for bladder cancer and a review of the literature |
title_fullStr | A case of mycotic infrarenal abdominal aortic aneurysm after bacillus Calmette-Guérin immunotherapy for bladder cancer and a review of the literature |
title_full_unstemmed | A case of mycotic infrarenal abdominal aortic aneurysm after bacillus Calmette-Guérin immunotherapy for bladder cancer and a review of the literature |
title_short | A case of mycotic infrarenal abdominal aortic aneurysm after bacillus Calmette-Guérin immunotherapy for bladder cancer and a review of the literature |
title_sort | case of mycotic infrarenal abdominal aortic aneurysm after bacillus calmette guerin immunotherapy for bladder cancer and a review of the literature |
topic | BCG vaccine Bladder cancer Mycotic aneurysm |
url | http://www.sciencedirect.com/science/article/pii/S2468428723001223 |
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