{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T13:00:08Z","timestamp":1780059608525,"version":"3.54.0"},"reference-count":8,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["IJU Case Reports"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Intravesical Bacillus Calmette\u2010Gu\u00e9rin (BCG) therapy is an established treatment for non\u2010muscle\u2010invasive bladder cancer. Although systemic BCG infection is rare, infectious aortic aneurysm is a potentially fatal complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>\n                      A man in his 70s underwent transurethral resection of a bladder tumor followed by intravesical BCG therapy. One year later, computed tomography revealed a saccular abdominal aortic aneurysm with extensive periaortic inflammation and an iliopsoas abscess. Polymerase chain reaction analysis confirmed\n                      <jats:styled-content style=\"fixed-case\">\n                        <jats:italic>Mycobacterium bovis<\/jats:italic>\n                      <\/jats:styled-content>\n                      BCG infection. Despite antituberculosis therapy, aneurysmal rupture with abscess progression occurred, necessitating prosthetic graft replacement with omental flap coverage. The patient recovered without recurrence after prolonged therapy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>BCG\u2010related infectious aortic aneurysm may develop even in the absence of fever or marked inflammatory response. Clinicians should suspect and consider early CT evaluation in patients with a history of intravesical BCG therapy when unexplained retroperitoneal or vascular abnormalities are identified, regardless of inflammatory status.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/iju5.70176","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T11:41:43Z","timestamp":1778154103000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Case Report of an Infectious Aortic Aneurysm Following Intravesical Bacillus Calmette\u2010Gu\u00e9rin Therapy After Transurethral Resection of a Bladder Tumor"],"prefix":"10.1002","volume":"9","author":[{"given":"Daisuke","family":"Muto","sequence":"first","affiliation":[{"name":"Department of Urology Nagasaki University Graduate School of Biomedical Sciences  Nagasaki 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