Abstract
39 year old male was started on antituberculous treatment based on symptoms and miliary shadows on chest x-ray. 2 months later he had persistent abdominal pain. Abdominal examination revealed a pulsatile palpable mass with brui. Ultrasound &CT abdomen confirmed aneurysmal dilatation of aorta from hiatus to bifurcation with infra renal involvement. No leak or dissection.
Surgical exploration revealed aneurysm with areas of impending rupture, clots & caseous material. Endoaneurysmal graft repair surgery was done. Clot was teeming with AFB. Postoperatively patient had paraplegia due to ischemic myelopathy.
Tuberculous mycotic aneurysm of aorta is a rare complication with poor prognosis. Less than 50 cases have been reported. Combined medical & surgical therapy is advised.
- © 2011 ERS
