Retroperitoneal undifferentiated pleomorphic sarcoma with aortic and inferior vena cava involvement presenting as right common iliac artery rupture

IF 0.9 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-04-01 Epub Date: 2025-11-11 DOI:10.1016/j.jvscit.2025.102053

Daichi Ito MD , Koichi Morisaki MD, PhD , Kentaro Inoue MD, PhD , Chiemi Oishi MD , Yoshinao Oda MD, PhD , Tomoharu Yoshizumi MD, PhD

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Abstract

Retroperitoneal sarcomas rarely invade major vessels, with arterial rupture as a presenting symptom being exceptionally uncommon. Retroperitoneal undifferentiated pleomorphic sarcoma presenting with right common iliac artery rupture and inferior vena cava thrombosis is described. A 46-year-old female presented with right common iliac artery rupture requiring emergency endovascular aneurysm repair. Further workup revealed retroperitoneal sarcoma invading the inferior vena cava and bilateral common iliac veins. En bloc tumor resection with vascular reconstruction was performed, including right renal vein reconstruction using autologous superficial femoral vein and aortobifemoral bypass with prosthetic graft. Undifferentiated pleomorphic sarcoma was confirmed histopathologically. This exceptionally rare presentation was completely resected.

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腹膜后未分化多形性肉瘤伴主动脉及下腔静脉受累，表现为右侧髂总动脉破裂

腹膜后肉瘤很少侵犯大血管，以动脉破裂为主要症状是非常罕见的。腹膜后未分化多形性肉瘤，表现为右侧髂总动脉破裂及下腔静脉血栓形成。一位46岁女性因右侧髂总动脉破裂需要紧急血管内动脉瘤修复。进一步检查发现腹膜后肉瘤侵犯下腔静脉和双侧髂总静脉。整块肿瘤切除并血管重建，包括利用自体股浅静脉重建右肾静脉和假体移植主动脉股静脉旁路。组织病理学证实为未分化多形性肉瘤。这种异常罕见的表现被完全切除了。

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.