Practice Interactive case report

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

BMJ 2006; 332 doi: https://doi.org/10.1136/bmj.332.7551.1198 (Published 18 May 2006) Cite this as: BMJ 2006;332:1198
  1. Saroj Kumar Das, consultant vascular surgeon (saroj.das@imperial.ac.uk)1,
  2. Devdatta Sarwate, senior house officer1,
  3. J K Mordani, consultant radiologist1,
  4. K J Ng, consultant urologist1,
  5. Mark Nel, consultant anaesthetist1
  1. 1 Hillingdon Hospital, Uxbridge, Middlesex UB8 3NN
  1. 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. …

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