Abdominal aortic invasion by leiomyosarcoma.
We describe a case of retroperitoneal leiomyosarcoma with extra- and intravascular involvement. The patient presented with abdominal aortic rupture secondary to tumor invasion and extensive tumor thrombus in the inferior vena cava. The presence of a rupture of the abdominal aorta is an important radiologic diagnosis to make because early endovascular or surgical repair can prevent a catastrophic free rupture. Inferior vena cava involvement by leiomyosarcoma may be locally resected in some cases but has a poor long-term survival rate.
Cantwell
C P
CP
Department of Radiology, Mater Misericordiae University Hospital, Eccles Street, Dublin 7, Ireland. ccanty@gofree.indigo.ie
Stack
J
J
D000368:Aged; D001014:Aortic Aneurysm / Q000150:complications*; D001019:Aortic Rupture / Q000209:etiology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D009361:Neoplasm Invasiveness; D009360:Neoplastic Cells, Circulating; D012186:Retroperitoneal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D014682:Vena Cava, Inferior / Q000473:pathology*