2015 Volume 24 Issue 5 Pages 822-826
We report a patient who underwent an operation for an infectious Tuberculous multiple aortic aneurysm after intravesical bacillus Calmette-Guérin therapy. A 73-year-old man had intravesical BCG therapy for urinary bladder cancer. The man underwent medical examinations at our hospital because he had a fever at night and realized an abdominal mass. Computed tomography examination of the infectious abdominal aortic aneurysm and infectious thoracic aortic aneurysm. Computed tomography showed an expansion of the abdominal aortic aneurysm on the 4th day after admission. We performed graft replacement of abdominal aorta with rifampicin-bonded graft and omentopexy. The culture of an abscess in the aneurysm identified Mycobacterium bovis. The patient improved clinically with antituberculosis agents after operation. Computed tomography showed an expansion of the thoracic aortic aneurysm on the second week after first operation. We performed secondary operation graft replacement of descending thoracic aorta with rifampicin-bonded graft. He improved clinically with antituberculosis agents and left our hospital on the 10 POD of secondary operation. The patient is now asymptomatic, 14 months after the operation.
