Psoas Abscess Following Intravesical Bacillus Calmette-Guerin for Bladder Cancer: A Case Report

Hakim, Samuel
Heaney, John A.
Heinz, Tad
Zwolak, Robert W.

From the Sections of Urology and Vascular Surgery, and Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire

^*Requests for reprints: Section of Urology, Dartmouth-Hitchcock Medical Center, One Medical Center Dr., Lebanon, New Hampshire 03756.

Accepted December 23, 1992.

Journal of Urology 150(1):p 188-189, July 1993. | DOI: 10.1016/S0022-5347(17)35432-0

ABSTRACT

An 87-year-old man with an abdominal aortic aneurysm received intravesical bacillus Calmette-Guerin therapy for transitional cell carcinoma of the bladder. He presented 9 months later with a psoas abscess that mimicked a contained retroperitoneal abdominal aortic aneurysm rupture. The abscess cultures yielded Mycobacterium bovis. Recent transurethral resection and high voiding pressures after instillations of bacillus Calmette-Guerin may have led to distant dissemination of the drug.