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Highlights We report the clinical management challenge of synchronous abdominal aorta aneurysms (AAA) and colorectal cancer (CRC). Management of synchronous sigmoid cancer and abdominal aortic aneurysm requires a collegiate decision which should take into consideration the aneurysm rupture risk, the malignancy stage of tumor but also the technical platform. In such situation, the main controversy is the necessity of treating the diseases simultaneously or in two stages favouring the AAA management first. We report the first case published in literature in which the patient was treated for colorectal cancer first by laparoscopic surgery followed by EVAR. Nevertheless, the surgeon must adapt his technique according to the situations, and respect the oncological and functional requirements as much as possible.

Highlights Most common renal anomalies. Rare association of Horse-Shoe-kidney and Abdominal aortic aneurysm. Special challenge in managing this pathology given the close spatial relationship. Frequent renal arterial variation. Surgery or endovascular treatment.

Highlights Rare cause of mycotic aortic pseudoaneurysm. Sacciform aneurysm with high rate of mortality secondary to aneurysm rupture regadless its size. Open Surgery was the reference treatement, althoough accopagned with great risks. TEVAR with anti tuberculosis drugs have revolutionized the management and the outcomes of thoracic mycotic aneurysms.

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