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Tuberculosis Aortitis and Mycotic Pseudo-aneurysm of the Infra-renal Aorta after Intravesicular BCG Therapy
We report a patient who presented with a rapidly expanding symptomatic tuberculous aortitis and mycotic pseudo-aneurysm of the infra-renal aorta, after intra-vesical BCG chemotherapy for bladder cancer, treated by required emergency open aneurysm repair. His case highlights this rare complication of...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Ulster Medical Society
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9200094/ https://www.ncbi.nlm.nih.gov/pubmed/35722210 |
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author | Gamble, Nathan Blair, Robert Gray, Sam Hunter, Michael Harkin, Denis |
author_facet | Gamble, Nathan Blair, Robert Gray, Sam Hunter, Michael Harkin, Denis |
author_sort | Gamble, Nathan |
collection | PubMed |
description | We report a patient who presented with a rapidly expanding symptomatic tuberculous aortitis and mycotic pseudo-aneurysm of the infra-renal aorta, after intra-vesical BCG chemotherapy for bladder cancer, treated by required emergency open aneurysm repair. His case highlights this rare complication of intravesical BCG treatment, haematological seeding causing tuberculous aortitis and mycotic pseudo-aneurysm formation of the infra-renal aorta. It also illustrates successful treatment with emergency open surgery, local debridement of mycotic pseudoaneurysm, in-situ surgical reconstruction using a custom bovine-wrap interposition graft to create a neo-aorta and multi-agent anti-tuberculous chemotherapy. |
format | Online Article Text |
id | pubmed-9200094 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The Ulster Medical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-92000942022-06-17 Tuberculosis Aortitis and Mycotic Pseudo-aneurysm of the Infra-renal Aorta after Intravesicular BCG Therapy Gamble, Nathan Blair, Robert Gray, Sam Hunter, Michael Harkin, Denis Ulster Med J Case Report We report a patient who presented with a rapidly expanding symptomatic tuberculous aortitis and mycotic pseudo-aneurysm of the infra-renal aorta, after intra-vesical BCG chemotherapy for bladder cancer, treated by required emergency open aneurysm repair. His case highlights this rare complication of intravesical BCG treatment, haematological seeding causing tuberculous aortitis and mycotic pseudo-aneurysm formation of the infra-renal aorta. It also illustrates successful treatment with emergency open surgery, local debridement of mycotic pseudoaneurysm, in-situ surgical reconstruction using a custom bovine-wrap interposition graft to create a neo-aorta and multi-agent anti-tuberculous chemotherapy. The Ulster Medical Society 2022-06-15 2022-05 /pmc/articles/PMC9200094/ /pubmed/35722210 Text en Copyright © 2022 Ulster Medical Society https://creativecommons.org/licenses/by-nc-sa/4.0/The Ulster Medical Society grants to all users on the basis of a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International Licence the right to alter or build upon the work non-commercially, as long as the author is credited and the new creation is licensed under identical terms. |
spellingShingle | Case Report Gamble, Nathan Blair, Robert Gray, Sam Hunter, Michael Harkin, Denis Tuberculosis Aortitis and Mycotic Pseudo-aneurysm of the Infra-renal Aorta after Intravesicular BCG Therapy |
title | Tuberculosis Aortitis and Mycotic Pseudo-aneurysm of the Infra-renal Aorta after Intravesicular BCG Therapy |
title_full | Tuberculosis Aortitis and Mycotic Pseudo-aneurysm of the Infra-renal Aorta after Intravesicular BCG Therapy |
title_fullStr | Tuberculosis Aortitis and Mycotic Pseudo-aneurysm of the Infra-renal Aorta after Intravesicular BCG Therapy |
title_full_unstemmed | Tuberculosis Aortitis and Mycotic Pseudo-aneurysm of the Infra-renal Aorta after Intravesicular BCG Therapy |
title_short | Tuberculosis Aortitis and Mycotic Pseudo-aneurysm of the Infra-renal Aorta after Intravesicular BCG Therapy |
title_sort | tuberculosis aortitis and mycotic pseudo-aneurysm of the infra-renal aorta after intravesicular bcg therapy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9200094/ https://www.ncbi.nlm.nih.gov/pubmed/35722210 |
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