主动脉内膜肉瘤与真菌性肾旁腹主动脉瘤相似

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-05-06 DOI:10.1016/j.jvscit.2025.101832

Kentaro Kasa MD, Takao Ohki MD, PhD, Kota Shukuzawa MD, PhD, Hirotsugu Ozawa MD, PhD, Takeshi Baba MD, PhD, Masayuki Hara MD

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引用次数: 0

摘要

我们提出一个病例的主动脉内膜肉瘤模仿真菌性肾旁腹主动脉瘤，治疗分阶段的混合手术。60岁女性，主诉恶心和背部疼痛。ct示肾旁腹主动脉瘤，形状不规则，呈多分叶状，无主动脉周围软组织炎症，无腹腔动脉闭塞，无肠系膜上动脉狭窄。她接受了肠系膜上动脉支架植入术，随后进行了主动脉切除术和腋窝-股动脉搭桥术，以怀疑真菌性主动脉瘤。病理检查显示主动脉内膜肉瘤。手术后两年，她死于多器官衰竭，原因是骨转移化疗期间败血症。

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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 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.

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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.