Vascular reconstruction in a case of iliac artery infiltrating giant retroperitoneal liposarcoma

• Mondragón Zamora, Jennifer ^[1] ; Mendieta Azcona, C. ^[1] ; Martínez Turégano, B. ^[1] ; Gutiérrez Nistal, M. ^[1] ; Zafra Angulo, J.D. ^[1] ; Fernández Heredero, A. ^[1]
  1. [1] Hospital Universitario La Paz

     Hospital Universitario La Paz

     Madrid, España

     
• Localización: Revista española de investigaciones quirúrgicas, ISSN 1139-8264, Vol. 24, Nº. 3, 2021, págs. 109-110
• Idioma: inglés
• Texto completo no disponible (Saber más ...)
• Resumen

  • Introduction. Liposarcoma is the most common tumor type of retroperitoneal soft tissue sarcomas. Case report. A 35 year-old male with a history of smoking with hypogastric abdominal pain, abdominal fullness, constipation and weight-loss for several months. Physical examination revealed abdominal distension, increased abdominal collateral circulation and a left subcostal mass. Abdominal and pelvic CT scan showed a large, septated fat tumor measuring approximately 30cm x 31cm x 41cm in size. It was decided to perform a resection of the tumoral mass, the para-aortic adenopathy and the infiltrating component of the arterial axis plus a left nephrectomy. During the operation, we observed infiltration of the left CIA which required a block resection of the left CIA, followed by a CIA to left external iliac artery terminal-terminal (T-T) bypass using a 8mm Polyethylene Terephthalate prosthesis, internal iliac artery ligation and venous axis ligation.