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  • Title: Ruptured Mycotic Aortic Aneurysm after Bacille Calmette-Guerin Therapy.
    Author: Floros N, Meletiadis K, Kusenack U, Zirngibl H, Kamper L, Haage P, Dreger NM.
    Journal: Ann Vasc Surg; 2015 Oct; 29(7):1450.e1-4. PubMed ID: 26119640.
    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.
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