Khandelwal A, Gupta A, Virmani V, Khandelwal K
Fellow University of Ottawa, Diagnostic Imaging, 321-1833 Riverside Dr Ottawa, Ontario K1G 0E8 Canada.
Med J Malaysia. 2012 Oct;67(5):534-5.
Bacillus Calmette-Guérin (BCG) is a live attenuated strain of Mycobacterium bovis that has been used as effective treatment for early-stage transitional carcinoma of the urinary bladder. We present a case of a 68 year old man who had an abdominal aortic aneurysm following BCG therapy for bladder cancer. Contrast enhanced computerized tomogram (CECT) of abdomen and pelvis revealed bilateral hypodense lesions suggestive of psoas abscesses. In addition, a saccular abdominal aortic aneurysm measuring 4x3.6 cm involving infrarenal aorta with surrounding hematoma was seen. At surgery, he was found to have a psoas abscess and hemorrhage. He underwent ligation of the aorta and an axillary-bifemoral bypass. He was given one year of anti-tubercular therapy to which he responded clinically.
卡介苗（BCG）是一种减毒活牛分枝杆菌菌株，已被用作早期膀胱移行癌的有效治疗方法。我们报告一例68岁男性，在接受卡介苗治疗膀胱癌后发生腹主动脉瘤。腹部和骨盆的对比增强计算机断层扫描（CECT）显示双侧低密度病变，提示腰大肌脓肿。此外，还发现一个大小为4×3.6 cm的囊状腹主动脉瘤，累及肾下腹主动脉并伴有周围血肿。手术时，发现他患有腰大肌脓肿和出血。他接受了主动脉结扎和腋-双股旁路手术。给予他一年的抗结核治疗，他在临床上有反应。
