Endovascular Repair of Infrarenal Aortic Penetrating Ulcer in a Colon Cancer Patient: A Case Report

Abstract

This is a 66-year-old woman, active smoker, with history of severe bilateral peripheral arterial disease, recently diagnosed with colon cancer. During evaluation patient was found to have an asymptomatic penetrating infrarenal aortic ulcer complicated with aneurysm and intramural hematoma formation. This is an interesting case that highlights the importance of recognizing complicated aortic ulcers, pattern of progression, due to their increased risk of aortic rupture and the option of endovascular repair of infrarenal ulcers. This is an interesting case that presents some of the rare metastatic patterns of breast cancer, which can include the orbit, and hematologic abnormalities due to spinal mets. Breast cancer is reported to be responsible for most ophthalmic mets, with it being the primary neoplasms of origin of 40% of the metastases to the orbit.