Endovascular infrarenal aortic aneurysm repair combined with laparoscopic cholecystectomy.

The incidence of concomitant abdominal aortic aneurysm (AAA) and asymptomatic cholelithiasis is 5% to 6%.1 In such situations, isolated standard AAA repair is associated with acute cholecystitis in up to 18% of these concomitant cases,2 which justifies correcting these two diseases together. When a median route is used, it can lead to infection of the prosthesis. A good alternative for preventing this complication is the use of endovascular techniques that are rarely associated with perioperative cholecystitis3 or the use of two different surgical routes during the same operation.4 With the development of endovascular and videolaparoscopic techniques, a further possibility described in this case report enables correction of the two diseases in the same operation with the aim of diminishing the risk of infection: endovascular treatment of infrarenal AAA associated with laparoscopically assisted cholecystectomy.