Tuberculous Mycotic Pseudoaneurysm of the Abdominal Aorta

(The Department of Surgery, Tachikawa Hospital, Tachikawa, Japan)

Yoshinobu Akiyama Kentaro Matsubara
A 54-year-old man with a sacral abdominal aortic aneurysm (4cm) complained of lower abdominal pain. An abdominal computed tomographic (CT) scan revealed a 1cm expansion in 2 weeks. The abdominal aorta was replaced with an in situ expanded polytetrafluoroethylene graft. Granulomatous lymphoadenitis was diagnosed in the aneurysm wall by histological examination. The patientfs postoperative course was uneventful, and anti-tuberculosis medical drug therapy was given for 6 months.
@Jpn. J. Cardiovasc. Surg. 37: 174-176 (2008)