• Internal medicine · Jan 2021

    Aortic Rupture due to Co-localization of Aortic Intimal Myofibroblastic Sarcoma and Urothelial Carcinoma: A Unique Case Report.

    • Yutaka Ohashi, Yuki Yamamoto, Akitoshi Yamada, Kazuhiro Yamamoto, Keisuke Arai, Fumiko Namba, Naokazu Miyamoto, Masaru Tomita, Takeshi Fukumoto, Tsutomu Minamikawa, and Masahiro Oka.
    • Department of Dentistry and Oral Surgery, Kita-Harima Medical Center, Japan.
    • Intern. Med. 2021 Jan 15; 60 (2): 269-274.

    AbstractWe herein report a unique case of aortic rupture due to co-localization of aortic intimal myofibroblastic sarcoma (IMFS) and urothelial carcinoma (UC). A 76-year-old man who was being followed up after surgery for UC 5 years earlier developed aortic rupture and underwent emergency surgery. Intraoperatively, a tumorous mass on the luminal side of the aortic arch was found near the rupture. A histopathological analysis of the mass revealed aortic IMFS. Furthermore, co-localization of IMFS and UC cells was found near the rupture. The fragility of the aortic wall due to co-localization of IMFS and UC was believed to contribute to the aortic rupture.

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