A case of lymphoma mimicking infected internal iliac artery aneurysm Article Swipe
Yohei Ichikawa
,
Shinsuke Kikuchi
,
Hiroya Moriyama
,
Takamitsu Tatsukawa
,
Seima Ohira
,
Yuki Kamikokura
,
Yuri Yoshida
,
Mayumi Hatayama
,
Sayaka Yuzawa
,
Naoki Wada
,
Daiki Uchida
,
Atsuhiro Koya
,
Nobuyoshi Azuma
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1186/s40792-023-01665-0
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1186/s40792-023-01665-0
Background Malignant lymphoma rarely mimics an infected arterial aneurysm and a ruptured arterial aneurysm because of similar imaging findings, leading to misdiagnosis. The hematomas of ruptured aneurysms are radiologically difficult to distinguish from those of malignant lymphoma in emergency settings. Hence, a definitive diagnosis is crucial to avoid unnecessary surgery. Case presentation A man in his 80s with hematuria and shock vital had right internal iliac artery aneurysm (IIAA) and perianeurysmal fluid retention, which appeared to be a ruptured or an infected aneurysm. Treatment was initiated for infected IIAA instead of for ruptured IIAA. Systemic inflammatory response syndrome developed, and the infectious sources were assessed. Pacemaker lead and urinary tract infections were identified and treated; however, blood pressure was unstable. The aneurysm was treated with endovascular aortic aneurysm repair following antibiotic therapy; however, fluid retention increased, and inflammatory status and hematuria deteriorated. Open surgical conversion was performed to manage the infected lesions. Although an iliopsoas abscess was detected during surgery and nephrectomy and ureterectomy were performed to control the hematuria, analysis of the removed tissues led to the pathological diagnosis of diffuse large B-cell lymphoma (DLBCL). Conclusions We encountered a case of DLBCL with imaging findings mimicking an infected internal iliac artery aneurysm, and definitive diagnosis was made more than 2 months after the initial examination. Definitively diagnosing malignant lymphoma around an iliac artery aneurysm based merely on symptoms and imaging findings is extremely difficult. Thus, histological examination should be actively performed in atypical infected aneurysms.
Related Topics
Concepts
Medicine
Aneurysm
Radiology
Internal iliac artery
Lymphoma
Surgery
Abscess
Endovascular aneurysm repair
Diffuse large B-cell lymphoma
Common iliac artery
Abdominal aortic aneurysm
Pathology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s40792-023-01665-0
- https://surgicalcasereports.springeropen.com/counter/pdf/10.1186/s40792-023-01665-0
- OA Status
- gold
- Cited By
- 1
- References
- 10
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4377011261
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4377011261Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1186/s40792-023-01665-0Digital Object Identifier
- Title
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A case of lymphoma mimicking infected internal iliac artery aneurysmWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
-
2023-05-18Full publication date if available
- Authors
-
Yohei Ichikawa, Shinsuke Kikuchi, Hiroya Moriyama, Takamitsu Tatsukawa, Seima Ohira, Yuki Kamikokura, Yuri Yoshida, Mayumi Hatayama, Sayaka Yuzawa, Naoki Wada, Daiki Uchida, Atsuhiro Koya, Nobuyoshi AzumaList of authors in order
- Landing page
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https://doi.org/10.1186/s40792-023-01665-0Publisher landing page
- PDF URL
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https://surgicalcasereports.springeropen.com/counter/pdf/10.1186/s40792-023-01665-0Direct link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://surgicalcasereports.springeropen.com/counter/pdf/10.1186/s40792-023-01665-0Direct OA link when available
- Concepts
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Medicine, Aneurysm, Radiology, Internal iliac artery, Lymphoma, Surgery, Abscess, Endovascular aneurysm repair, Diffuse large B-cell lymphoma, Common iliac artery, Abdominal aortic aneurysm, PathologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
- References (count)
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10Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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