Abstract
Symptomatic large infrarenal abdominal aortic aneurysm with concomitant pelvic tumour
Highlights
The management of abdominal aortic aneurysm (AAA) with the presence of intra-abdominal tumour is controversial and the management plan remains a challenge to the clinician
We report a case of symptomatic huge abdominal aortic aneurysm with incidental finding of a huge pelvic tumour
In conclusion, managing an AAA in an elderly patient with concomitant tumour carries its own risks in relation to the patient's physiological reserve, the size of the AAA and tumour behaviour
Summary
The management of abdominal aortic aneurysm (AAA) with the presence of intra-abdominal tumour is controversial and the management plan remains a challenge to the clinician. We report a case of symptomatic huge abdominal aortic aneurysm with incidental finding of a huge pelvic tumour. Abdominal examination revealed a pulsatile mass occupying her left side of abdomen with slight tenderness on palpation. Her distal pulses were palpable with good volume. There was an incidental finding of a huge multiloculated cystic mass at both adnexa measuring 12.9 x 13 x 15 cm, possibly of ovarian origin (figure 2). Her tumour markers were taken following the findings of the CTA to rule out potential malignant pelvic tumour. In view of the huge pelvic tumour, a planned perioperative ureteric stenting was performed 4 days earlier by the urologist
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