Rapid Progression of Angiosarcoma in a Man with a Left Psoas Muscle Hematoma and a Recent EVAR of Abdominal Aorta

Dimitra Alexiadou; Symeon Panagiotakis; Nikos Kontopodis; Christos Skiadas; Antigoni Nikiforou; George Vouyiouklakis; John A Papadakis; Diamantis Kofteridis

doi:10.26574/maedica.2023.18.3.519

Rapid Progression of Angiosarcoma in a Man with a Left Psoas Muscle Hematoma and a Recent EVAR of Abdominal Aorta

Maedica (Bucur). 2023 Sep;18(3):519-522. doi: 10.26574/maedica.2023.18.3.519.

Authors

Dimitra Alexiadou¹, Symeon Panagiotakis¹, Nikos Kontopodis², Christos Skiadas³, Antigoni Nikiforou¹, George Vouyiouklakis¹, John A Papadakis¹, Diamantis Kofteridis¹

Affiliations

¹ Internal Medicine Department, Heraklion University Hospital, Heraklion, Crete, Greece.
² Vascular Surgery Unit, Department of Cardiothoracic and Vascular Surgery, Heraklion University Hospital, Heraklion, Crete, Greece.
³ Department of Radiology, Heraklion University Hospital, Heraklion, Crete, Greece.

Abstract

Angiosarcoma is a rare type of soft tissue cancer with several clinical presentations and a poor prognosis. We present a case of a 75-year-old man who was admitted due to anemia and fatigue. The patient had undergone an endovascular repair (EVAR) of a 9 cm infrarenal aneurysm of the abdominal aorta two months ago. A computed tomography (CT) scan of the abdomen on admission indicated a Type-II endoleak and a large hematoma of the left psoas muscle with multiple sites of intramuscular extravasation. Osseous metastases were found at the head of the left femoral head and at the iliac bones. A CT guided biopsy of the femoral head revealed an angiosarcoma of unknown primary site a few days after the patient had died from intra-alveolar hemorrhage caused by lung metastases.

Publication types

Editorial