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Neo aortoiliac system repair of burkholderia cepacia infected mycotic aneurysm with impending rupture

Mycotic or infected aneurysms are focal vascular dilatations from inflammation or infection that results in weakening of the blood vessel wall. It poses a high risk of complications such as aneurysm rupture, uncontrolled sepsis, and extensive para-aortic infection. We report a case of a middle-aged man with a 2-week history of fever, abdominal pain, and backache. Computed tomography angiogram was done which showed infrasaccular aneurysm with impending rupture. The patient underwent neoaortoiliac system repair which was done by harvesting bilateral superficial femoral vein. We report a case of an infected mycotic aneurysm caused by Burkholderia cepacia, a Gram-negative lactose nonfermenting bacterium which is commonly seen in livestock and has not been reported earlier.