What question did this study set out to answer?

To describe an atypical case of fatal bleeding peritoneal sarcomatosis originating from a vascular prosthesis-related angiosarcoma and review published literature on similar occurrences.

November 20, 2020BMC SurgeryOpen Access

Bleeding “sarcomatosis” as a rare presentation of vascular graft-related angiosarcoma: case report and review of the literature

View Full Paper

Ask AI

Bookmark

Why the study?

Angiosarcoma is a rare malignant tumor that can arise in association with vascular prostheses, and the authors report a rare presentation with bleeding peritoneal sarcomatosis alongside a literature review.

Population

An 84-year-old male with a history of abdominal aortic aneurysm endovascular repair

Design

Case report and review of the literature

Authors

SPStefano PresaccoUniversità Cattolica del Sacro Cuore AAAmedea Luciana AgnesUniversità Cattolica del Sacro Cuore AAAmedea L. AgnesUniversità Cattolica del Sacro Cuore

Discussion

Member takes

Implication

Angiosarcoma may follow PTFE aortoiliac grafting; this single case leaves open any causal link and should not change practice.

Key Points

To describe an atypical case of fatal bleeding peritoneal sarcomatosis originating from a vascular prosthesis-related angiosarcoma and review published literature on similar occurrences.
Clinical, diagnostic, and surgical evaluation of an 84-year-old male presenting with back pain and acute hemoperitoneum following endovascular abdominal aortic aneurysm repair.
Review of published medical literature covering the epidemiology, clinical presentation, and therapeutic strategies for foreign body-associated angiosarcomas.
Diagnostic workup revealed ambiguous spinal alterations followed 42 days later by severe acute anemia and massive hemoperitoneum originating from actively bleeding peritoneal nodules.
Histological analysis confirmed metastatic angiosarcoma related to the vascular graft, with rapid tumor progression causing fatal hypovolemic shock five days after emergency laparotomy.

Structured PICO

Population

1 patient (84-year-old male) with a history of abdominal aortic aneurysm endovascular repair (PTFE aorto bis-iliac prosthesis) presenting with low back pain and later acute anemia.

Intervention

Emergency laparotomy and abdominal packing for massive hemoperitoneum.

Outcome

Diagnosis of graft-related angiosarcoma and patient survival.

Angiosarcoma should be considered in the differential diagnosis for patients with a history of prosthetic vascular graft placement presenting with lumbar pain, osteolytic changes, or ascites.

Cite This Study

Presacco et al. (2020) studied this question.

synapsesocial.com/papers/6a90ef7f152a692a9d92d851 https://doi.org/10.1186/s12893-020-00966-7

View Full Paper

Ask AI

Bookmark

Bleeding “sarcomatosis” as a rare presentation of vascular graft-related angiosarcoma: case report and review of the literature

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Bleeding “sarcomatosis” as a rare presentation of vascular graft-related angiosarcoma: case report and review of the literature

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider