title: A rare but potentially lethal case of tuberculous aortic aneurysm presenting with repeated attacks of abdominal pain.
abstract: Tuberculous aortic aneurysm is an extremely rare disease with a high mortality rate. The clinical features of this condition are highly variable, ranging from asymptomatic with or without constitutional symptoms, abdominal pain to frank rupture, bleeding and shock. We herein report the case of a 56-year-old man with a large tuberculous mycotic aneurysm in the abdominal aorta with an initial presentation of repeated attacks of abdominal pain lasting for several months. Due to the vague nature of the initial symptoms, tuberculous aortic aneurysms may take several months to diagnose. This case highlights the importance of having a high index of suspicion and providing timely surgery for this rare but potentially lethal disease.
authors.affiliation: Department of Emergency Medicine, Kaohsiung Veterans General Hospital,  2) Yuhing Junior College of Health Care and Management, Taiwan.
authors.forename: Yao-Min
authors.initials: YM
authors.lastname: Hung
authors.forename: Yun-Te
authors.initials: YT
authors.lastname: Chang
authors.forename: Jyh-Seng
authors.initials: JS
authors.lastname: Wang
authors.forename: Paul Yung-Pou
authors.initials: PY
authors.lastname: Wang
authors.forename: Shue-Ren
authors.initials: SR
authors.lastname: Wann
mesh_terms: D015746:Abdominal Pain / Q000209:etiology / Q000382:microbiology* / Q000628:therapy; D000785:Aneurysm, Infected / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D000904:Antibiotics, Antitubercular / Q000008:administration & dosage*; D001012:Aorta, Abdominal / Q000382:microbiology* / Q000473:pathology; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014381:Tuberculosis, Cardiovascular / Q000150:complications / Q000175:diagnosis / Q000382:microbiology*
chemical_list: D000904:Antibiotics, Antitubercular