Aortic intimal sarcoma mimicking a mycotic pararenal abdominal aortic aneurysm
We present a case of aortic intimal sarcoma mimicking a mycotic para-renal abdominal aortic aneurysm, treated with staged hybrid surgery. A 60-year-old female presented with complaints of nausea and back pain. Computed tomography showed a para-renal abdominal aortic aneurysm with irregular and multi...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-08-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428725001145 |
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| author | Kentaro Kasa, MD Takao Ohki, MD, PhD Kota Shukuzawa, MD, PhD Hirotsugu Ozawa, MD, PhD Takeshi Baba, MD, PhD Masayuki Hara, MD |
| author_facet | Kentaro Kasa, MD Takao Ohki, MD, PhD Kota Shukuzawa, MD, PhD Hirotsugu Ozawa, MD, PhD Takeshi Baba, MD, PhD Masayuki Hara, MD |
| author_sort | Kentaro Kasa, MD |
| collection | DOAJ |
| description | We present a case of aortic intimal sarcoma mimicking a mycotic para-renal abdominal aortic aneurysm, treated with staged hybrid surgery. A 60-year-old female presented with complaints of nausea and back pain. Computed tomography showed a para-renal abdominal aortic aneurysm with irregular and multilobulated shape, without periaortic soft-tissue inflammation, occlusion of the celiac artery, and stenosis of the superior mesenteric artery. She underwent superior mesenteric artery stenting, followed by aortic resection and axillo-femoral bypass for suspicion of mycotic aortic aneurysm. Pathologic examination revealed aortic intimal sarcoma. Two years after surgery, she died of multiple organ failure due to sepsis during chemotherapy for bone metastases. |
| format | Article |
| id | doaj-art-b52fb860420d4b2fabd81fd2f9c7f565 |
| institution | DOAJ |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-b52fb860420d4b2fabd81fd2f9c7f5652025-08-20T02:48:49ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-08-0111410183210.1016/j.jvscit.2025.101832Aortic intimal sarcoma mimicking a mycotic pararenal abdominal aortic aneurysmKentaro Kasa, MD0Takao Ohki, MD, PhD1Kota Shukuzawa, MD, PhD2Hirotsugu Ozawa, MD, PhD3Takeshi Baba, MD, PhD4Masayuki Hara, MD5Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, JapanCorrespondence: Takao Ohki, MD, PhD, Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi-Shinbashi, Minato-ku, Tokyo 105-8461, Japan; Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, JapanDivision of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, JapanDivision of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, JapanDivision of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, JapanDivision of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, JapanWe present a case of aortic intimal sarcoma mimicking a mycotic para-renal abdominal aortic aneurysm, treated with staged hybrid surgery. A 60-year-old female presented with complaints of nausea and back pain. Computed tomography showed a para-renal abdominal aortic aneurysm with irregular and multilobulated shape, without periaortic soft-tissue inflammation, occlusion of the celiac artery, and stenosis of the superior mesenteric artery. She underwent superior mesenteric artery stenting, followed by aortic resection and axillo-femoral bypass for suspicion of mycotic aortic aneurysm. Pathologic examination revealed aortic intimal sarcoma. Two years after surgery, she died of multiple organ failure due to sepsis during chemotherapy for bone metastases.http://www.sciencedirect.com/science/article/pii/S2468428725001145Aortic intimal sarcomaSuperior mesenteric artery stenosisTumor embolism |
| spellingShingle | Kentaro Kasa, MD Takao Ohki, MD, PhD Kota Shukuzawa, MD, PhD Hirotsugu Ozawa, MD, PhD Takeshi Baba, MD, PhD Masayuki Hara, MD Aortic intimal sarcoma mimicking a mycotic pararenal abdominal aortic aneurysm Journal of Vascular Surgery Cases and Innovative Techniques Aortic intimal sarcoma Superior mesenteric artery stenosis Tumor embolism |
| title | Aortic intimal sarcoma mimicking a mycotic pararenal abdominal aortic aneurysm |
| title_full | Aortic intimal sarcoma mimicking a mycotic pararenal abdominal aortic aneurysm |
| title_fullStr | Aortic intimal sarcoma mimicking a mycotic pararenal abdominal aortic aneurysm |
| title_full_unstemmed | Aortic intimal sarcoma mimicking a mycotic pararenal abdominal aortic aneurysm |
| title_short | Aortic intimal sarcoma mimicking a mycotic pararenal abdominal aortic aneurysm |
| title_sort | aortic intimal sarcoma mimicking a mycotic pararenal abdominal aortic aneurysm |
| topic | Aortic intimal sarcoma Superior mesenteric artery stenosis Tumor embolism |
| url | http://www.sciencedirect.com/science/article/pii/S2468428725001145 |
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