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Case Reports
. 2024 Apr 15;10(4):101504.
doi: 10.1016/j.jvscit.2024.101504. eCollection 2024 Aug.

Aortobisiliac graft thrombosis in bacillus Calmette-Guérin disseminated infection with graft involvement

Lorenzo Ciofani  1   2 , Riccardo Milani  1 , Jacopo Giordano  1 , Mauro Cevolani  1
Affiliations
Case Reports

Aortobisiliac graft thrombosis in bacillus Calmette-Guérin disseminated infection with graft involvement

Lorenzo Ciofani et al. J Vasc Surg Cases Innov Tech. .

Abstract

Bacillus Calmette-Guérin (BCG), a live attenuated form of Mycobacterium bovis, is part of the therapy for non-muscle-invasive bladder cancer. Cases of vascular graft infection in the context of BCG dissemination are rarely reported in the literature. We report a case of a 77-year-old man, who underwent intravesical instillation of BCG approximately 10 years earlier and presented to our hospital with acute thrombosis of a previous aortobisiliac graft, which tested positive for BCG infection. Aortic graft infections due to BCG dissemination are rare, but possible, complications. A prompt and multidisciplinary approach is necessary.

Keywords: Aortic graft infection; Aortic graft thrombosis; BCG infection.

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Conflict of interest statement

None.

Figures

Fig 1
Fig 1
Computed tomography angiography (CTA) showing voluminous retroperitoneal abscess.
Fig 2
Fig 2
Computed tomography angiography (CTA) showing right groin mass causing fistulization toward the surface.
Fig 3
Fig 3
Intraoperative photograph showing in situ reconstruction with aortobifemoral graft of bovine pericardium.
Fig 4
Fig 4
Follow-up computed tomography angiography (CTA) 2 months after explantation and in situ reconstruction.
See this image and copyright information in PMC

References

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