One-stage resection of abdominal aortic aneurysm and gastrectomy for carcinoma.

Abstract

IN THE AGE group in which aneurysms of the abdominal aorta occur, malignant neoplasia has a high incidence.¹Moore²stated that 33% of late deaths following resection of abdominal aneurysms were due to cancer. He therefore recommended careful examination of the abdominal viscera at the time of aneurysmectomy. DeBakey et al³reported that 11% of 1,449 patients with abdominal aneurysm eventually died of cancer. This report describes the management of a patient whose gastric carcinoma was discovered at the time of abdominal aortic aneurysm resection. <h3>Report of a Case</h3> A 73-year-old white man (20-01-93) was admitted to the hospital on June 20, 1966, because of an asymptomatic pulsating abdominal mass discovered by his physician. He denied back pain, vomiting, melena, and weight loss. Fourteen years earlier, he had tuberculosis of the spine and left hip. Physical examination showed him to have pulmonary emphysema and to be in