Abstract
Background: The number of patients who have concomitant abdominal aortic aneurysm (AAA) and gastrointestinal malignancy has recently been increasing. However the best operative strategy for these patients remains controversial. Methods: A 58-year-old man underwent radical operation with colostomy and ileal conduit formation for rectal cancer 2 years previously. He had already been diagnosed as having AAA at that time because the aneurysm recently enlarged to approximately 60 mm in diameter, he received operation for AAA. Although he had mild obesity and double stoma on both sides of the abdomen, we selected a left retroperitoneal approach, and the replacement of aneurysm was successfully performed. Results: The postoperative course was uneventful, and he was discharged 8 days after the operation. Conclusion: We should select the best operative strategy, including endovascular stent graft, depending on the condition of each patient suffering both AAA and gastrointestinal malignancy.
