Simultaneous surgery of an inflammatory abdominal aortic aneurysm and renal cell carcinoma: A case report.

Abdominal aortic aneurysm (AAA) and renal cell carcinoma (RCC) coincidence is considered a rare phenomenon. Moreover, the inflammatory nature of aneurysm increases the rarity of the case. Our case was a 66-year-old man complaining of constant abdominal pain with a periumbilical pulsatile mass on examination. The computerized tomography angiography revealed a 67*41*44 mm AAA and a 52*43 mm renal mass. Not only choosing the most appropriate treatment is critical when two life-threatening diseases coexist in the same patient but also avoiding from any injury to adjacent organs while releasing fibrotic adhesions due to inflammatory process makes the case more challenging. The preset study describes the successful one-stage and open surgery for treatment of simultaneous IAAA and RCC. • Inflammatory abdominal aortic aneurysm (IAAA) and renal cell carcinoma (RCC) rarely occur simultaneously. • Several ways to control simultaneous IAAA and RCC were suggested, but they have remained controversial. • Surgeons must determine the best treatment case by case in terms of optimal time and priority for surgical procedures. [ABSTRACT FROM AUTHOR]