Document Detail

Role of wrapping in concomitant intra-abdominal aneurysm and colorectal carcinoma. Report of three cases.
MedLine Citation:
PMID:  1395989     Owner:  NLM     Status:  MEDLINE    
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.
A R Minu; K Takemura; T Iwai; M Tsubaki; S Sato; M Endo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  35     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  1992 Oct 
Date Detail:
Created Date:  1992-10-26     Completed Date:  1992-10-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  991-5     Citation Subset:  IM    
First Department of Surgery, Tokyo Medical and Dental University School of Medicine, Japan.
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MeSH Terms
Aortic Aneurysm, Abdominal / complications*,  surgery*
Colorectal Neoplasms / complications*,  surgery*
Iliac Aneurysm / complications,  surgery
Middle Aged
Surgical Mesh*

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