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Leiomyosarcoma of the abdominal aorta: a rare cause of renovascular hypertension. 2007
Seitaro Iguchi, and
Bassam Alchi, and
Katsuaki Asakawa, and
Daisuke Izumi, and
Takeshi Kashimura, and
Mitsuhiro Ueno, and
Farah Safar, and
Shinichi Nishi, and
Ichiei Narita, and
Fumitake Gejyo
Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Japan. seita.iguchi@nifty.com
We describe the case of a 44-year-old woman who presented with renovascular hypertension caused by primary leiomyosarcoma of the abdominal aorta that had metastasized into the renal arteries. Despite an extensive radiological evaluation, the diagnosis was mistaken first for Takayasu's arteritis and then for retroperitoneal hematoma or neoplasm. The patient developed renal failure due to bilateral renal infarction, and died 3 months after her initial presentation with ischemic colitis. Postmortem examination confirmed the diagnosis.
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