@article{3220331,
    title = "Laparoscopic Management of Concomitant Sigmoid Colon Cancer and Type 2 Endoleak Following Endovascular Aneurysm Repair",
    author = "Bakopoulos, A. and Koliakos, N. and Papaconstantinou, D. and Bistarakis, D. and Zymvragoudakis, V. and Schizas, D. and Pikoulis, E. and Lazaris, A.M.",
    journal = "Italian Journal of Vascular and Endovascular Surgery",
    year = "2022",
    volume = "56",
    number = "5",
    pages = "505-508",
    publisher = "SAGE Publications Inc.",
    issn = "1824-4777",
    doi = "10.1177/15385744221083087",
    keywords = "capecitabine;  fluorouracil, abdominal mass;  adjuvant chemotherapy;  aged;  Article;  atrial fibrillation;  cancer staging;  case report;  clinical article;  colectomy;  colonoscopy;  computed tomographic angiography;  computer assisted tomography;  contrast enhancement;  coronary artery aneurysm;  endoleak;  endovascular aneurysm repair;  fluorescence intensity;  fluorography;  human;  inferior mesenteric artery;  infrarenal aortic aneurysm;  laparoscopy;  ligation;  male;  pancreas pseudocyst;  postoperative complication;  postoperative period;  Roux Y anastomosis;  sigmoid cancer;  sigmoidectomy;  abdominal aortic aneurysm;  adverse event;  blood vessel transplantation;  colon tumor;  complication;  diagnostic imaging;  endoleak;  endovascular surgery;  procedures;  retrospective study;  treatment outcome, Aged;  Aortic Aneurysm, Abdominal;  Blood Vessel Prosthesis Implantation;  Endoleak;  Endovascular Procedures;  Humans;  Laparoscopy;  Male;  Retrospective Studies;  Sigmoid Neoplasms;  Treatment Outcome",
    abstract = "The co-occurrence of abdominal aortic aneurysm (AAA) and colorectal malignancy creates a significant surgical dilemma over which entity should be addressed first. A 73-year-old male was referred to our hospital due to a painful pulsatile abdominal mass. Computed tomographic angiography revealed an infrarenal aortic aneurysm measuring 5.8 cm in diameter and incidentally, a synchronous mass lesion in the sigmoid colon. The patient underwent an emergency EVAR using a Gore Excluder endograft. Postoperative CT staging for colon cancer revealed a type 2 endoleak on the grounds of a patent wide inferior mesenteric artery. The patient underwent a standard laparoscopic left colectomy with high ligation of the inferior mesenteric artery in order to simultaneously address the ongoing type 2 endoleak. Follow-up examinations with computed tomographic angiography were performed confirming the resolution of the endoleak. Synchronous laparoscopic sigmoidectomy and high ligation of inferior mesenteric artery for type 2 endoleak treatment appears to be applicable with hopeful results. © The Author(s) 2022."
}