炎性腹主动脉瘤与肾细胞癌同期手术：一例报告
Simultaneous surgery of an inflammatory abdominal aortic aneurysm and renal cell carcinoma: A case report.
作者信息
Banar Sepideh, Parvas Ehsan, Ilkhani Saba, Mousavizadeh Ahmadabadi Seyed Mohammadali, Refaei Meisam, Mozaffar Mohammad
机构信息
Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
Department of General and Vascular Surgery, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences and Health Services, Tehran, Iran.
出版信息
Int J Surg Case Rep. 2023 Nov;112:108991. doi: 10.1016/j.ijscr.2023.108991. Epub 2023 Oct 30.
INTRODUCTION
Abdominal aortic aneurysm (AAA) and renal cell carcinoma (RCC) coincidence is considered a rare phenomenon. Moreover, the inflammatory nature of aneurysm increases the rarity of the case.
PRESENTATION OF CASE
Our case was a 66-year-old man complaining of constant abdominal pain with a periumbilical pulsatile mass on examination. The computerized tomography angiography revealed a 674144 mm AAA and a 52*43 mm renal mass.
CLINICAL DISCUSSION
Not only choosing the most appropriate treatment is critical when two life-threatening diseases coexist in the same patient but also avoiding from any injury to adjacent organs while releasing fibrotic adhesions due to inflammatory process makes the case more challenging.
CONCLUSION
The preset study describes the successful one-stage and open surgery for treatment of simultaneous IAAA and RCC.
引言
腹主动脉瘤（AAA）与肾细胞癌（RCC）同时存在被认为是一种罕见现象。此外，动脉瘤的炎症性质增加了该病例的罕见性。
病例介绍
我们的病例是一名66岁男性，主诉持续腹痛，检查发现脐周有搏动性肿块。计算机断层血管造影显示一个67×41×44毫米的腹主动脉瘤和一个52×43毫米的肾脏肿块。
临床讨论
当两种危及生命的疾病同时存在于同一患者时，不仅选择最合适的治疗方法至关重要，而且在松解因炎症过程导致的纤维化粘连时避免对相邻器官造成任何损伤也使该病例更具挑战性。
结论
本研究描述了成功的一期开放手术治疗同时存在的炎性腹主动脉瘤和肾细胞癌。
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