Key result
Descending aortic replacement and subsequent biopsy confirmed the diagnosis of aortic angiosarcoma in a 71-year-old woman presenting with acute abdominal pain and aortic occlusion.
Why the study?
Aortic angiosarcoma is exceedingly rare, and significant diagnostic delays can occur due to its rarity and lack of specific clinical manifestations.
Case Report (n=1)
Aortic angiosarcoma is a rare condition that can present as thoraco-abdominal aortic occlusion and mimic degenerative atherothrombotic aneurysm, making early diagnosis difficult.
Aortic angiosarcoma should be considered in atypical aortic lesions; this case leaves open the role of FDG-PET-CT and biopsy in routine evaluation.
Aortic angiosarcoma is an exceedingly rare clinical entity. A significant delay in diagnosis can occur due to its rareness and lack of specific clinical manifestation. A 71-year-old woman was admitted to the emergency department owing to an acute episode of abdominal pain. A computed tomography (CT) scan showed thoraco-abdominal aortic occlusion and splenic infarction. The patient was initially treated with descending aortic replacement for degenerative atherothrombotic aneurysm. An FDG-positron emission tomography-CT scan and biopsy ultimately confirmed the diagnosis of aortic angiosarcoma. This case highlights the difficulties of making an early diagnosis of aortic angiosarcoma.
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Yokawa et al. (2019) conducted a case report in Aortic angiosarcoma (n=1). Descending aortic replacement was evaluated on Diagnosis of aortic angiosarcoma. Descending aortic replacement and subsequent biopsy confirmed the diagnosis of aortic angiosarcoma in a 71-year-old woman presenting with acute abdominal pain and aortic occlusion.
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