1.Simultaneous Xanthogranulomatous Cholecystitis and Gallbladder Cancer in a Patient with a Large Abdominal Aortic Aneurysm.
Yahya AL-ABED ; Mohammed ELSHERIF ; John FIRTH ; Rudi BORGSTEIN ; Fiona MYINT
The Korean Journal of Internal Medicine 2012;27(3):338-341
There have been reports of the coexistence of abdominal aortic aneurysm (AAA) with intra-abdominal malignancy including gastric, colonic, pancreatic, and renal. We herein report a case of a previously undiagnosed AAA and a presenting complaint consistent with acute cholecystitis. Following cholecystectomy, this was noted to be a rare form of chronic cholecystitis: xanthogranulomatous cholecystitis. There is a known possible association of this uncommon condition with gallbladder cancer. The management of concomitant pathologies can present a real challenge to the multidisciplinary team, especially with large aneurysms.
Adenocarcinoma/*complications/radiography/secondary/surgery
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Aged
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Aortic Aneurysm, Abdominal/*complications/radiography/surgery
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Biopsy
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Blood Vessel Prosthesis Implantation
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Cholecystectomy
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Cholecystitis/*complications/pathology/radiography/surgery
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Endovascular Procedures
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Female
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Gallbladder Neoplasms/*complications/pathology/radiography/surgery
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Granuloma/*complications/pathology/radiography/surgery
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Humans
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Tomography, X-Ray Computed
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Treatment Outcome
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Xanthomatosis/*complications/pathology/radiography/surgery
2.Superior Mesenteric Artery Syndrome Due to an Aortic Aneurysm in a Renal Transplant Recipient.
Hae Rim KIM ; Mahn Won PARK ; Seong Su LEE ; Mee Jung SHIN ; Joo Hyun PARK ; Chul Woo YANG ; Yong Soo KIM ; Yong Bok KOH ; In Sung MOON ; Byung Kee BANG
Journal of Korean Medical Science 2002;17(4):552-554
Superior mesenteric artery (SMA) syndrome is a rare disease in which the third portion of the duodenum is compressed by SMA. There are many causes leading to the SMA syndrome, however it's extremely rare that aortic aneurysm causes a SMA syndrome. We report a case of a successfully treated SMA syndrome due to an abdominal aortic aneurysm in a renal transplant recipient. The patient was a 52-yr-old woman with a thin stature (weight 40 kg, height 164 cm). She received a renal transplant 8 yr before, and had hypertension and abdominal aortic aneurysm. Her SMA syndrome developed in a prolonged supine position for the accidental rib fractures and was diagnosed by clinical and radiological findings. After a surgical correction (resection of an aneurysm and aortobiiliac bypass with an inverted Y graft), her symptoms relieved without deterioration of the graft function.
Aortic Aneurysm, Abdominal/*complications/surgery
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Duodenal Obstruction
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Duodenum/radiography
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Female
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Humans
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*Kidney Transplantation
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Middle Aged
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Superior Mesenteric Artery Syndrome/*etiology/surgery
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Tomography, X-Ray Computed