Role of wrapping in concomitant intra-abdominal aneurysm and colorectal carcinoma. Report of three cases.
The therapeutic measure against concomitant intraabdominal aneurysm and colorectal carcinoma is still a dilemma. Here we report the clinical courses of three cases of colorectal carcinoma coincidental with moderate-sized abdominal aortic or iliac artery aneurysm in those who underwent operations during a recent three-year period. Resection of malignant lesion and wrapping of aneurysm were carried out in all three patients simultaneously. Carcinoma was staged by Dukes classification as A in one patient and B in two patients. All tolerated surgery well without any signs of complications. Two-year or three-year follow-up shows that they have continued to do well, with no further symptoms of abdominal aortic aneurysm, peripheral vascular disease, or recurrence of colorectal carcinoma. We conclude that, if the aneurysm is not about to rupture and the carcinoma is in an advanced stage, then the carcinoma should be resected, associated with interim aneurysmal wrapping. However, both lesions need to be resected eventually for long-term survival.
Minu
A R
AR
First Department of Surgery, Tokyo Medical and Dental University School of Medicine, Japan.
Takemura
K
K
Iwai
T
T
Tsubaki
M
M
Sato
S
S
Endo
M
M
D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000601:surgery*; D015179:Colorectal Neoplasms / Q000150:complications* / Q000601:surgery*; D006801:Humans; D017543:Iliac Aneurysm / Q000150:complications / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013526:Surgical Mesh