70 year old man with scrotal swelling, abdominal aortic aneurysm, and renal lesions: case outcome

doi:10.1136/bmj.332.7551.1198

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Saroj Kumar Das, consultant vascular surgeon (saroj.das@imperial.ac.uk)1,
Devdatta Sarwate, senior house officer1,
J K Mordani, consultant radiologist1,
K J Ng, consultant urologist1,
Mark Nel, consultant anaesthetist1

¹ Hillingdon Hospital, Uxbridge, Middlesex UB8 3NN

Correspondence to: S K Das

Accepted 2 December 2005

Four weeks ago we presented the case of Mr Mahon, who presented with scrotal swelling (15 April, BMJ 2006;332: 899). Computed tomography showed that he had a renal tumour that required urgent removal and he also needed repair of an abdominal aortic aneurysm that had a risk of rupture of over 40% (22 April, BMJ 2006;332: 959). Mr Mahon's management was discussed at a multidisciplinary team meeting between the radiologist, urologist, and two consultant vascular surgeons. The team agreed that a combined approach involving repair of the abdominal aortic aneurysm and left partial nephrectomy offered the best possible outcome for this patient. …