title: A one-stage operation for abdominal aortic aneurysm and intraductal papillary mucinous neoplasms of the pancreas: report of a case.
abstract: Pancreatic surgery concomitant with abdominal aortic repair is rarely chosen due to concerns about prosthetic infection following pancreatic leakage and the poor prognosis of pancreatic neoplasms. We herein report a successfully treated case of infrarenal abdominal aortic aneurysm and intraductal papillary mucinous neoplasms of the pancreas treated by a one-stage operation. A 75-year-old male with a history of cerebral infarction and chronic subdural hematoma was referred to our department with a pulsatile abdominal mass. A 70-mm infrarenal abdominal aortic aneurysm with severe proximal neck angulation and a 28-mm multilocular cystic tumor with mural nodules in the pancreas body were detected. Abdominal aortic repair with a prosthetic graft and distal pancreatectomy were performed simultaneously. The postoperative course was mostly uneventful, and he was discharged to a rehabilitation facility.
authors.affiliation: Department of Surgery, Shinsuma General Hospital, 4-1-6, Isonare-cho, Suma-ku, Kobe, Hyogo, Japan. ytsuji812@gmail.com
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Tsuji
authors.forename: Ikurou
authors.initials: I
authors.lastname: Kitano
authors.forename: Katsuhiro
authors.initials: K
authors.lastname: Sawada
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000150:complications / Q000601:surgery*; D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000601:surgery*; D021441:Carcinoma, Pancreatic Ductal / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D010190:Pancreatic Neoplasms / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome