Endometrial stromal sarcoma invading the abdominal aorta treated with aortic replacement

Busuito, Brandon C.; West, Charles A.; Rasool, Nabila; Rogers, Craig G.

doi:10.1016/j.jvs.2011.09.088

Cited by 4 publications

(1 citation statement)

References 9 publications

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“…During the course of the disease, we also suspected invasion by the tumor because of the abdominal aortic occlusion. Although tumor invasion into the aorta is relatively rare, invasion into blood vessels by malignancies, such as sarcomas, should be considered [7, 8].…”

Section: Discussionmentioning

confidence: 99%

Chronic contained rupture of abdominal aortic aneurism complicated with aortic occlusion: a case report

et al. 2019

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Background Chronic contained rupture is a subtype of an abdominal aortic aneurysm rupture. Its diagnosis is sometimes difficult due to lack of typical symptoms. We would like to report the challenge of diagnosing chronic contained rupture of abdominal aortic aneurysm with a retroperitoneal tumor. Case presentation A 60-year-old man reported perceived lower abdominal pain 7 months earlier that spontaneously remitted. A contrast-enhanced computed tomography (CT) indicated an abdominal aortic aneurysm and a mass lesion surrounding the abdominal aorta and iliac arteries. Fluorine-18-fluorodeoxyglucose positron emission tomography (FDG-PET) showed an increased accumulation of FDG in the margin of the lesion, indicating a retroperitoneal tumor. A CT-guided biopsy revealed only retroperitoneal fibrous tissue with chronic inflammation. We were thus unable to reach a definitive diagnosis. At 1 month after the initial examination, intermittent claudication was newly observed. A follow-up contrast-enhanced CT scan revealed abdominal aortic occlusion. Mass resection and bypass surgery were performed for diagnosis and treatment. Intraoperative and pathological findings led to the diagnosis of chronic contained rupture of an abdominal aortic aneurysm. The patient was discharged 19 days after surgery. Conclusion The mass peripheral to the abdominal aorta should be considered the possibility not only of tumor but also of chronic contained rupture of an abdominal aortic aneurysm.

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Section: Discussionmentioning

confidence: 99%

Chronic contained rupture of abdominal aortic aneurism complicated with aortic occlusion: a case report

et al. 2019

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Komplexe Becken- und Sarkomchirurgie mit Gefäßersatz

Pistorius

Weitz

2015

Chirurg

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Due to optimization of surgical techniques in surgical oncology and vascular surgery, the most modern approaches of anesthesia and intensive care medicine and effective multimodal therapeutic strategies, locally advanced malignant tumors are resected more frequently with a potentially curative intent. In the case of extensive tumors with infiltration of vital vascular structures or of structures which are crucial for extremity preservation, the necessary surgical procedure for complete tumor removal poses a major challenge for the surgeon and incorporates a high risk of perioperative morbidity for the patient. The decision to attempt tumor resection should therefore always be based on a concept considering all aspects of the malignant disease. The treating team should be highly experienced in this complex field of surgery, not only with respect to the surgical approach but also regarding the management of postoperative complications. In this article relevant aspects of decision making, surgical technique and postoperative outcome for malignant tumors involving vascular structures of the retroperitoneum and pelvis are presented.

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