Tehran University of Medical Sciences (TUMS) Academic Journal of Surgery 2423-3218 5 1-2 2019 05 04 24 27 Gholamhossein Kazemzadeh Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Mazyar Bazrafshan Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Adeleh Hashemi-Fard Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran 2018 08 22 Background: Abdominal aortic aneurysm (AAA) is one of vascular surgery challenges, because of its differences in decision making about time and type of surgery (open vs. endovascular). Case Report: We have case of patient with old pulmonary tuberculosis came with recurrence of AAA after open surgery. We decided to perform endovascular treatment, but there was an anatomical difficulty for device selection. Conclusions: Although recurrence of AAA is rare, it has more diagnostic and therapeutic challenge. Recurrence after open surgery occurs less than endovascular surgery. Treatment after open surgery is better to conducted with endovascular manner, because of general condition of patient and probable difficult abdomen due to adhesion of previous laparotomy. https://ajs.tums.ac.ir/index.php/ajs/article/view/149 https://ajs.tums.ac.ir/index.php/ajs/article/download/149/98