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

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. …