Tubercular Aortic Aneurysm with Rupture into Psoas Abscess

Tuberculosis is highly prevalent in developing country and with rising incidence of HIV, incidence of tuberculosis is further rising. Spine is most common site of osseous involvement of tuberculosis and the psoas abscess one of its common complication. We encountered a rare case of bilateral tubercular psoas abscess having aneurysm of abdominal aorta. While performing aspiration of abscess through posterior paraspinal approach for diagnostic work up, we land up in fatal complication of aortic aneurysm rupture. The case was further managed by injecting glue, so could avoid life threatening complication.