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We present a case with lower back pain and constipation as presenting symptoms, leading to diagnosis of mycotic aneurysm presumed secondary to intravesical BCG therapy. Treatment included open surgical repair with femoral vein grafting and anti-tubercular therapy. This case highlights the importance of a high index of suspicion for less common infectious complications of BCG therapy.<\/jats:p>","DOI":"10.1177\/15385744231171754","type":"journal-article","created":{"date-parts":[[2023,4,18]],"date-time":"2023-04-18T18:19:31Z","timestamp":1681841971000},"page":"776-780","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Mycotic Abdominal Aortic Aneurysm Secondary to BCG Therapy for Non-muscle Invasive Urothelial Carcinoma of the Bladder"],"prefix":"10.1177","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4480-2449","authenticated-orcid":false,"given":"Levi","family":"Godard","sequence":"first","affiliation":[{"name":"University of British Columbia, Island Medical Program, Victoria, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Lee","sequence":"additional","affiliation":[{"name":"University of British Columbia, Island Medical Program, Victoria, BC, Canada"},{"name":"University of British Columbia, Dept. 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