title: Ruptured Mycotic Aortic Aneurysm after Bacille Calmette-Guerin Therapy.
abstract: 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.
authors.affiliation: Department of Vascular Surgery, Bergisch Vascular Center, Clinic for Vascular Surgery, HELIOS Hospital Wuppertal, University of Witten/Herdecke, Wuppertal, Germany. Electronic address: nikolaosfloros@gmail.com.
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Floros
authors.affiliation: Department of Vascular Surgery, Bergisch Vascular Center, Clinic for Vascular Surgery, HELIOS Hospital Wuppertal, University of Witten/Herdecke, Wuppertal, Germany.
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Meletiadis
authors.affiliation: Department of Vascular Surgery, Bergisch Vascular Center, Clinic for Vascular Surgery, HELIOS Hospital Wuppertal, University of Witten/Herdecke, Wuppertal, Germany.
authors.forename: Ulrich
authors.initials: U
authors.lastname: Kusenack
authors.affiliation: Department of Surgery, Surgical Center, HELIOS Hospital Wuppertal, University of Witten/Herdecke, Wuppertal, Germany.
authors.forename: Hubert
authors.initials: H
authors.lastname: Zirngibl
authors.affiliation: Center for Radiology, Clinic for Radiology, Department of Diagnostic and Interventional Radiology, University of Witten/Herdecke, Wuppertal, Germany.
authors.forename: Lars
authors.initials: L
authors.lastname: Kamper
authors.affiliation: Center for Radiology, Clinic for Radiology, Department of Diagnostic and Interventional Radiology, University of Witten/Herdecke, Wuppertal, Germany.
authors.forename: Patrick
authors.initials: P
authors.lastname: Haage
authors.affiliation: Department of Urology and Pediatric Urology, Prostate Center Wuppertal, Center for Research in Clinical Medicine (ZFKM), Wuppertal, Germany.
authors.forename: Nici Markus
authors.initials: NM
authors.lastname: Dreger
mesh_terms: D000283:Administration, Intravesical; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D000970:Antineoplastic Agents / Q000008:administration & dosage / Q000009:adverse effects*; D000995:Antitubercular Agents / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D001019:Aortic Rupture / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D001500:BCG Vaccine / Q000008:administration & dosage / Q000009:adverse effects*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D002291:Carcinoma, Papillary / Q000188:drug therapy* / Q000473:pathology; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009164:Mycobacterium Infections / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D001749:Urinary Bladder Neoplasms / Q000188:drug therapy* / Q000473:pathology
chemical_list: D000970:Antineoplastic Agents; D000995:Antitubercular Agents; D001500:BCG Vaccine