Simultaneous surgery for abdominal aortic aneurysm and concomitant semi-malignant tumor of the abdominal wall

Most often the accidental findings during the abdominal aortic aneurysm (AAA) surgery are cholelithiasis, inguinal hernia, gastrointestinal cancer, renal and retroperitoneal tumors, while concomitant mesenchymal tumors are rare. Associated lesions increase the operative risk and bring into focus the question of simultaneous or staged approach. As related series of patients, reported in literature, are small and results diverse, there is not enough evidence to establish reliable treatment protocols. Here we present a situation where the AAA was discovered during the diagnostic evaluation of a protuberant cutaneous malignancy of the abdominal wall. Some considerations regarding operative technique and strategy are discussed.