A gentleman in his late 30s presented with a history of evening rise of temperature and generalised malaise of 1-week duration. He had associated upper back pain with tingling and numbness of both lower limbs. An unexplained episode of hypotension with hemoptysis propelled a computed tomography (CT) examination of chest which was suggestive of a pseudoaneurysm of the posterior wall of descending thoracic aorta in the vicinity of the Pott’s spine with a prevertebral and paravertebral abscess, for which he was referred to vascular surgeons.Tubercular involvement of vasculature is a rare disease, aortic involvement even rarer. Less than 50 cases of vertebral tuberculosis with tubercular thoracic aortic aneurysm have been reported in the medical literature, but the disease carries a colossal mortality and morbidity.After a multidisciplinary teamwork, thoracic endovascular aortic repair was done for exclusion of the aneurysmal segment, with simultaneous antitubercular and broad-spectrum antibiotic chemotherapy. The patient recuperated well.

Simultaneous bilateral quadriceps tendon rupture is an uncommon but disabling clinical entity that usually has an underlying cause of tendon weakening. We present a case of a 36-year-old male who presented with full-thickness tears of both quadriceps tendons following a fall on the knees and was found to have underlying calcific tendinopathy secondary to chronic kidney disease and hemodialysis. Imaging with radiographs and ultrasound scans usually suffices for the evaluation of tendon pathology in cases of clinical suspicion of quadriceps tendon rupture.