Fibrin-associated diffuse B-cell lymphoma after endovascular aneurysm repair can mimic a mycotic aneurysm

Fibrin-associated diffuse large B-cell lymphoma is a rare malignancy that can arise after vascular surgical procedures. Importantly, it can mimic culture-negative aortic graft infection with elevated inflammatory markers and avidity on positron emission tomography. Chemotherapy is the mainstay of tr...

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Main Authors: Joshua T. Geiger, MD, MS, Alaska Pendleton, MD, MPH
Format: Article
Language:English
Published: Elsevier 2025-10-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S246842872500190X
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author Joshua T. Geiger, MD, MS
Alaska Pendleton, MD, MPH
author_facet Joshua T. Geiger, MD, MS
Alaska Pendleton, MD, MPH
author_sort Joshua T. Geiger, MD, MS
collection DOAJ
description Fibrin-associated diffuse large B-cell lymphoma is a rare malignancy that can arise after vascular surgical procedures. Importantly, it can mimic culture-negative aortic graft infection with elevated inflammatory markers and avidity on positron emission tomography. Chemotherapy is the mainstay of treatment. This case highlights the challenges in the diagnosis and perioperative management of a patient with such a disease after complex endovascular aortic surgery.
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spelling doaj-art-037febf1162d4ed2874c29d83c7b46292025-08-20T03:45:03ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-10-0111510190810.1016/j.jvscit.2025.101908Fibrin-associated diffuse B-cell lymphoma after endovascular aneurysm repair can mimic a mycotic aneurysmJoshua T. Geiger, MD, MS0Alaska Pendleton, MD, MPH1Division of Vascular Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, NYCorrespondence: Alaska Pendleton, MD, MPH, Assistant Professor of Surgery, Division of Vascular Surgery, University of Rochester Medical Center, 601 Elmwood Ave, Box 652, Rochester, NY 14642; Division of Vascular Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, NYFibrin-associated diffuse large B-cell lymphoma is a rare malignancy that can arise after vascular surgical procedures. Importantly, it can mimic culture-negative aortic graft infection with elevated inflammatory markers and avidity on positron emission tomography. Chemotherapy is the mainstay of treatment. This case highlights the challenges in the diagnosis and perioperative management of a patient with such a disease after complex endovascular aortic surgery.http://www.sciencedirect.com/science/article/pii/S246842872500190XFibrin-associated diffuse large B-cell lymphomaEVARPseudoaneurysmPET-CT
spellingShingle Joshua T. Geiger, MD, MS
Alaska Pendleton, MD, MPH
Fibrin-associated diffuse B-cell lymphoma after endovascular aneurysm repair can mimic a mycotic aneurysm
Journal of Vascular Surgery Cases and Innovative Techniques
Fibrin-associated diffuse large B-cell lymphoma
EVAR
Pseudoaneurysm
PET-CT
title Fibrin-associated diffuse B-cell lymphoma after endovascular aneurysm repair can mimic a mycotic aneurysm
title_full Fibrin-associated diffuse B-cell lymphoma after endovascular aneurysm repair can mimic a mycotic aneurysm
title_fullStr Fibrin-associated diffuse B-cell lymphoma after endovascular aneurysm repair can mimic a mycotic aneurysm
title_full_unstemmed Fibrin-associated diffuse B-cell lymphoma after endovascular aneurysm repair can mimic a mycotic aneurysm
title_short Fibrin-associated diffuse B-cell lymphoma after endovascular aneurysm repair can mimic a mycotic aneurysm
title_sort fibrin associated diffuse b cell lymphoma after endovascular aneurysm repair can mimic a mycotic aneurysm
topic Fibrin-associated diffuse large B-cell lymphoma
EVAR
Pseudoaneurysm
PET-CT
url http://www.sciencedirect.com/science/article/pii/S246842872500190X
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