Abstract

A 64 year old man with a recent diagnosis of spinal tuberculosis was admitted to the emergency department after routine computed tomography angiography (CTA) for a mycotic infrarenal aneurysm. He had been on oral tuberculostatic therapy for two days. (A) The CTA revealed a large 75 mm aneurysm with psoas muscle infiltration (arrow). The aneurysm was urgently excluded with a bifurcated stent graft (Endurant II; Medtronic, Santa Rosa, CA, USA) under local anaesthesia. (B) Three weeks later his lumbar spine was reconstructed in a two step operation shown in the abdominal Xray.Image 1

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