title: Leiomyosarcoma of the abdominal aorta: a rare cause of renovascular hypertension.
abstract: We describe the case of a 44-year-old woman who presented with renovascular hypertension caused by primary leiomyosarcoma of the abdominal aorta that had metastasized into the renal arteries. Despite an extensive radiological evaluation, the diagnosis was mistaken first for Takayasu's arteritis and then for retroperitoneal hematoma or neoplasm. The patient developed renal failure due to bilateral renal infarction, and died 3 months after her initial presentation with ischemic colitis. Postmortem examination confirmed the diagnosis.
authors.affiliation: Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Japan. seita.iguchi@nifty.com
authors.forename: Seitaro
authors.initials: S
authors.lastname: Iguchi
authors.forename: Bassam
authors.initials: B
authors.lastname: Alchi
authors.forename: Katsuaki
authors.initials: K
authors.lastname: Asakawa
authors.forename: Daisuke
authors.initials: D
authors.lastname: Izumi
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kashimura
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Ueno
authors.forename: Farah
authors.initials: F
authors.lastname: Safar
authors.forename: Shinichi
authors.initials: S
authors.lastname: Nishi
authors.forename: Ichiei
authors.initials: I
authors.lastname: Narita
authors.forename: Fumitake
authors.initials: F
authors.lastname: Gejyo
mesh_terms: D000328:Adult; D001012:Aorta, Abdominal / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006978:Hypertension, Renovascular / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D007890:Leiomyosarcoma / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D009360:Neoplastic Cells, Circulating / Q000473:pathology; D012077:Renal Artery / Q000473:pathology; D019043:Vascular Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000473:pathology