Leiomyosarcoma of the abdominal aorta: a rare cause of renovascular hypertension.
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.
Iguchi
Seitaro
S
Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Japan. seita.iguchi@nifty.com
Alchi
Bassam
B
Asakawa
Katsuaki
K
Izumi
Daisuke
D
Kashimura
Takeshi
T
Ueno
Mitsuhiro
M
Safar
Farah
F
Nishi
Shinichi
S
Narita
Ichiei
I
Gejyo
Fumitake
F
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