Saccular Abdominal Aortic Aneurysm and Kidney Cancer: Simultaneous Surgical Repair

Introduction The clinical examination showed a pulsatile abdominal mass in the upper abdomen with extension Although the saccular aneurysms of the thoracic aorta to the right side. The patient had been aware of an abdominal aneurysm for many years. He was monare often reported, their localisation in the abdominal aorta is less common and the causes are unusual and itored echographically and did not report any abdominal trauma. At the beginning of 1999 he different: medionecrosis, bacterial infection, penetrating ulcers of the aorta, atherosclerosis, as being underwent a CT scan, which showed the AAA (53 mm diameter) and revealed a mass (5 cm) on the upper congenital in young children. Since the occurrence of this kind of abdominal anpart of the left kidney. These results were confirmed by echography, with a diagnosis of right kinking of eurysm is rare and the diagnosis of our reported case was misunderstood because of the preoperative CT the abdominal aorta, right anterolateral ectasia (36.6×46.3 mm) of this vessel, and cancer of the left scan and the coexistence of a cancer of the left kidney, we report our experience in the simultaneous mankidney. Surgical intervention: a midline xifopubic incision agement of both pathologies, stressing the need for a deeper preoperative diagnostic examination. was performed. In the retroperitoneal space fibrous tissue surrounded an aortic mass, which intersected the anterior aortic wall. After using the usual technique to isolate the upper aorta under the renal arteries and Case Report the common iliac arteries, a saccular aortic aneurysm arising from the anterior wall was observed. The anA 76-year-old white male with a previous surgical eurysm (diameter about 5 cm) was treated by subintervention for retroperitoneal lymphangioma (exstituting the aorta with a preclotted aortic graft using tending from the pancreas to the left kidney) which end-to-end sutures. Both the left renal vein and the had been discovered by an occasional echography 3 artery were isolated, and total left nephrectomy was years ago, was affected by abdominal aortic aneurysm performed. and was hospitalised in our Service. He was transferred from the Urology Department because of a cancer of the left kidney and was scheduled for combined vascular and urological surgery. Results and Discussion