Logo Medical Science Monitor

Call: +1.631.470.9640
Mon - Fri 10:00 am - 02:00 pm EST

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

01 July 1999

Abdominal aortic aneurysm and concomitant intra-abdominal malignancy diagnostic and therapeutic problems

Stanisław Molski, Michał Szpinda, Anna Grabowska-Gaweł, Jarosław Jaroszek, Zygmunt Mackiewicz

Med Sci Monit 1999; 5(4): CR703-708 :: ID: 503493

Abstract

Coexistence of the aortic abdominal aneurysm (AAA) with intra-abdominal malignancy (IAM) is not a rare phenomenon. It poses a challenge for the surgeon both from diagnostic and therapeutic standpoints. In our study we discuss 5 cases of coexistent AAA and IAM out of 218 patients admitted to the hospital between January 1993 and June 1997 for the aneurysm surgery. In all cases patients had been qualified for surgical procedure because of AAA (aneurysm ranged from 4.6 to 5.5 cm), and the neoplasm had not been diagnosed prior to the operation. Abdominal malignancies included: gastric cancer - 1, pancreas cancer - 1, retroperitoneal space leiomyosarcoma - 1, colon cancer - 1, and one disseminated malignant process with not established primary focus. Aortic reconstruction was carried out in four cases. Among them simultaneous operation was performed in one case concomitant AAA and leiomyosarcoma of peritoneal space using transperitoneal approach. Two-stage procedure underwent patient having colon cancer. In remaining two cases, however, the malignancy was not revealed during the aortic reconstruction. In one case aneurysm was not resected because of the disseminated gastric cancer which had been revealed at the time of laparotomy. All patients died of the metastatic disease complications. The patient who survived the longest was woman treated simultaneously for AAA and IAM. The progression of colon cancer precluded radical surgery of the another patient at the second stage. The treatment of AAA coexistent with IAM should be determined by the size of aneurysm, the type of malignancy, its location and stage of development. The operator should take into account both the risk of aneurysm rupture and the progression of neoplasm the latter of which may make impossible radical management in the future. One cannot overemphasis the importance of meticulous exploration of the abdominal cavity when using transperitoneal approach for aortic reconstruction.

Keywords: treatment, Diagnosis, abdominal malignancy, aortic aneurysm

Add Comment 0 Comments

Editorial

01 March 2024 : Editorial  

Editorial: First Regulatory Approvals for CRISPR-Cas9 Therapeutic Gene Editing for Sickle Cell Disease and Transfusion-Dependent β-Thalassemia

Dinah V. Parums

DOI: 10.12659/MSM.944204

Med Sci Monit 2024; 30:e944204

In Press

23 Feb 2024 : Clinical Research  

Early Mobilization in Pediatric Critical Care: Exploring the Gap Between Theory and Practice in Saudi Arabia

Med Sci Monit In Press; DOI: 10.12659/MSM.942467  

0:00

01 Feb 2024 : Review article  

Enhancing Patient Adherence to Newly-Prescribed Medicine for Chronic Diseases: A Comprehensive Review and C...

Med Sci Monit In Press; DOI: 10.12659/MSM.942923  

10 Jan 2024 : Clinical Research  

Efficacy of Bakri Intrauterine Balloon in Managing Postpartum Hemorrhage: A Comparative Analysis of Vaginal...

Med Sci Monit In Press; DOI: 10.12659/MSM.943072  

15 Jan 2024 : Clinical Research  

Comparison of Modified Shock Index and Shock Index for Predicting Massive Transfusion in Women with Primary...

Med Sci Monit In Press; DOI: 10.12659/MSM.943286  

Most Viewed Current Articles

16 May 2023 : Clinical Research  

Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...

DOI :10.12659/MSM.940387

Med Sci Monit 2023; 29:e940387

0:00

17 Jan 2024 : Review article  

Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron Variant

DOI :10.12659/MSM.942799

Med Sci Monit 2024; 30:e942799

0:00

14 Dec 2022 : Clinical Research  

Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase Levels

DOI :10.12659/MSM.937990

Med Sci Monit 2022; 28:e937990

0:00

01 Jan 2022 : Editorial  

Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...

DOI :10.12659/MSM.935952

Med Sci Monit 2022; 28:e935952

0:00

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750