Common variable immunodeficiency causing granulomatous disease of the abdominal aorta with aneurysm formation

In 1995 a 42-year old patient with common variable immunodeficiency associated with granulomatous disease had an elective repair of a granulomatous abdominal aortic aneurysm. Five years later he presented with a ruptured false aneurysm of the left common iliac artery. Granulomata may cause aneurysm formation and weakens surgical anastomoses.