Purpose: To report a rare case of hemangiosarcoma after endovascular aneurysm repair (EVAR).
Case Report: A 50-year-old man with Klinefelter syndrome presented 5 years after EVAR with a mass at the infrarenal aorta outside the stent-graft. Radiomorphologic and clinical signs were misleading because there had been evidence of an inflammatory process for more than a year.