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Objective: Intrathoracic or intra-abdominal mycotic aortic aneurysms (MA) are life-threatening infections with high morbidity and mortality. The objective of the present study is to report the treatment plan, roadblocks involved in management, pre-operative, and post-operative patient outcomes. Case presentation: In this case report we have outlined in detail about the unusual presentation of a 58-year-old male patient with a ruptured mycotic abdominal aorta aneurysm. The pre-operative workup that led to the diagnosis of this uncommon condition and the use of a femoral vein as a bypass conduit to repair the infected diseased aorta was elucidated. Conclusion: From our findings, we can state that early diagnosis using combination of clinical, laboratory, and radiological findings was proven to be effective. In such scenarios, early surgical intervention in the form of in-situ reconstruction with an autologous femoral vein as a conduit to repair was proven effective. [ABSTRACT FROM AUTHOR]