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Bacillus Calmette-Guerin (BCG) is a live, attenuated strain of Mycobacterium bovis that is used in the treatment of non-muscle invasive bladder cancer (NMIBC). Vascular complications, including mycotic aneurysms, after BCG therapy are exceedingly rare. In this patient population, the diagnosis of mycotic aneurysms can be delayed or missed due to their non-specific clinical and radiologic presentation. Literature review reveals management of mycotic aneurysms attributable to BCG therapy is widely varied. CASE REPORT: We report a patient who presented with mycotic aneurysm formation secondary to BCG treatment for bladder cancer that was repaired with in-line reconstruction utilizing cryoartery and buttressed with omental flap. We suggest this as an alternative treatment to in-line prosthetic graft or extra-anatomic reconstruction.
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http://dx.doi.org/10.1016/j.avsg.2021.07.032 | DOI Listing |
Int Med Case Rep J
August 2025
Department of Infectious Disease, Tibet Autonomous Region People's Hospital, Lhasa, People's Republic of China.
Infective endocarditis is a severe infectious disease that, in addition to cardiac complications such as heart failure and arrhythmias caused by valve damage, may also lead to extracardiac complications such as septic embolization, metastatic abscesses, and mycotic aneurysms. Here, we report a rare case of splenic infarction resulting from infective endocarditis, subsequently leading to the development of a splenic artery aneurysm three weeks post-surgery confirmed both by CTA and DSA. Following arterial embolization of the aneurysm, the patient eventually recovered completely.
View Article and Find Full Text PDFMicrosurgery
September 2025
Department of Plastic Surgery, The University of Osaka Graduate School of Medicine, Osaka, Japan.
Lymphovenous anastomosis (LVA) is an effective surgical treatment for inguinal lymphorrhea, a complication that can occur after surgery involving vessels. LVA, however, requires a suitable vein for anastomosis near the leaking lymphatic vessel, which is sometimes difficult to secure. Here we report the successful treatment of a refractory ulcer with lymphorrhea by anastomosis of a flap vein to the lymphatic vessel concerned, along with flap closure.
View Article and Find Full Text PDFTransplant Proc
September 2025
Nephrology Department, Unidade Local de Saúde de Santo António, Porto, Portugal.
Mycotic pseudoaneurysms are rare yet potentially fatal complications following kidney transplantation, typically associated with infection and high morbidity. This report describes the case of a 66-year-old man who developed a mycotic pseudoaneurysm 4 months after a second renal transplant. The clinical course was notable for initial contamination of the preservation fluid with carbapenemase-producing Klebsiella pneumoniae, followed by delayed onset of symptoms and vascular complications.
View Article and Find Full Text PDFJ Vasc Surg Cases Innov Tech
October 2025
Division of Vascular Surgery, Department of Surgery, University of New Mexico School of Medicine, University of New Mexico, Albuquerque, NM.
Mycotic pseudoaneurysms are rare infectious complications that may involve the aorta, peripheral arteries, cerebral arteries, or visceral arteries. We present a unique case of thoracoabdominal mycotic pseudoaneurysm secondary to hematogenous spread of from spinal osteomyelitis. The infections started with bacterial translocation to the calcified ostial plaque around the celiac origin, which then degenerated into a rapidly growing pseudoaneurysm.
View Article and Find Full Text PDFVasc Specialist Int
August 2025
Department of Vascular and Endovascular Surgery, SRM Institutes for Medical Science, Chennai, India.
(BP) is a gram-negative bacterium that causes melioidosis. Prolonged infection can lead to dissemination with rare presentations. A 65-year-old male presented with worsening back pain, persistent fever, and bilateral infected pedal ulcers.
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