Day 1 |
Hospitalization for a recent onset of palpitations, fatigue, epigastric pain, and vomiting. |
Day 3 |
Incidental finding of a mesenteric arterial thrombosis on abdominal computed tomography (CT). |
Day 5 |
Pathological glucose uptake in the descending aorta lumen and at the level of the 8th right rib (positron emission tomography). |
Day 6 |
Obstructive thrombosis and thickening of arterial wall in the descending aorta (thoracic CT). |
Day 10 |
Aortic thrombosis and aortic wall enlargement at magnetic resonance imaging. |
Day 12 |
Computed tomography-guided biopsy of the osteolytic lesion of the rib (metastatic lesion?). |
Day 20 |
Histological diagnosis of metastatic angiosarcoma of the aortic wall. |
1 day after diagnosis |
Start oral propranolol (anti-proliferative effect); multidisciplinary team excluded surgical procedure. |
1 week after diagnosis |
Start of palliative radiotherapy on metastatic lesion. |
10 days after diagnosis |
Start of chemotherapy with Paclitaxel (five cycles completed). |
7 months after diagnosis |
Patient passed away after rapid progression of the disease. |