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- Title
Concomitant Reconstruction of Infrarenal Aorta and Inferior Vena Cava After En Bloc Resection of Retroperitoneal Rhabdomyosarcoma.
- Authors
Anaya-Ayala, Javier E.; Cheema, Zulfiqar F.; Davies, Mark G.; Lumsden, Alan B.; Reardon, Michael J.
- Abstract
Adult paratesticular rhabdomyosarcoma (PRMS) with invasion of the retroperitoneum and involvement of the infrarenal aorta and inferior vena cava (IVC) is rare. We describe a 23-year-old male diagnosed with PRMS in 2008, previously treated with right orchiectomy, chemotherapy, and radiation, who presented with new onset of lower back pain. Computed tomography (CT) scan revealed a 4.8 × 4.2 cm mass involving both the infrarenal aorta and the IVC. We resected the tumor en bloc with in situ reconstruction of the aorta utilizing a Dacron graft and the IVC with a bovine pericardium roll graft. His postoperative period was uneventful, and he was discharged on postoperative day 6 in stable condition. At 2-month follow-up, the patient recovered well from the surgery, patent grafts on CT scan with no clinical signs of lower extremity ischemia or edema, and he continues to receive cycles of chemotherapy.
- Subjects
AORTA; BACKACHE; CANCER chemotherapy; RHABDOMYOSARCOMA; PLASTIC surgery; TESTIS; VENAE cavae; RETROPERITONEUM; DIAGNOSIS; TUMORS
- Publication
Vascular & Endovascular Surgery, 2011, Vol 45, Issue 8, p769
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574411418128