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Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Aortic sarcoma: a challenging diagnosis
Thi Huong Giang Bui1,2, Ngoc Son Do1,3, The Thach Pham1,3
1Center for Critical Care Medicine, Bach Mai Hospital, Hanoi, Viet Nam.
Abstract:
Sarcomas of the aorta are rare tumours with various clinical presentations. The most common symptoms are embolic events, constitutional symptoms, claudication, abdominal complaints, aneurysm/pseudoaneurysm, back pain and hypertension. We present a case of a woman in her early 60s having fever, fatigue and cough for 3 months. The chest CT revealed an aneurysm measuring 64.1×65.6 mm. The oncology and thoracic surgical teams were consulted and decided to do an open repair of the aorta and take specimens for histopathological examination, which later confirmed a pleomorphic undifferentiated sarcoma of the aorta. She was temporarily discharged on day 9th after the surgery, followed up by chemotherapy in subsequent admission.
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