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Rare case of inflammatory abdominal aortic aneurysm with an aortocaval fistula.
Radiol Case Rep
January 2024
University of California Riverside School of Medicine, Riverside, CA, USA.
Inflammatory abdominal aortic aneurysms (IAAA) are a distinct subcategory of abdominal aortic aneurysms that make up roughly 5%-10% of all abdominal aortic aneurysm (AAA) cases. Inflammatory AAA (IAAA) is distinguished from traditional atherosclerotic AAA by the triad of thickened aneurysm wall, extensive perianeurysmal/retroperitoneal fibrosis, and dense adhesions of adjacent abdominal organs. The purpose of this report is to examine the clinical course of a rare case of inflammatory abdominal aortic aneurysm with aortocaval fistula.
View Article and Find Full Text PDFMultidisciplinary diagnosis and management of inflammatory aortic aneurysms.
J Vasc Surg
July 2023
Division of Vascular Surgery, University of Iowa Carver College of Medicine, Iowa City, IA. Electronic address:
Background: Inflammatory abdominal aortic aneurysms (IAAAs) are a variant involving a distinct immunoinflammatory process, with nearly one half believed to be associated with IgG4-related disease (IgG4-RD).
Methods: MEDLINE and Google Scholar searches were conducted for English-language publications relevant to inflammatory aortic aneurysms from January 1970 onward. The search terms included inflammatory aortic aneurysms, aortitis, periaortitis, IgG4-related disease, and retroperitoneal fibrosis.
Chronic Periaortitis The term chronic periaortitis encompasses several fibroinflammatory diseases that manifest on or around the abdominal aorta which may be associated with aneurysm formation. Formerly distinct entities are grouped together, such as idiopathic retroperitoneal fibrosis (Ormond's disease), inflammatory aortic aneurysm, and perianeurysmal retroperitoneal fibrosis. They may also occur IgG4-related.
View Article and Find Full Text PDFComprehensive assessment and outcomes of patients with chronic periaortitis.
Clin Exp Rheumatol
May 2022
Division of Rheumatology, Department of Internal Medicine, Hacettepe University School of Medicine, Ankara, and Hacettepe Universitiy Vasculitis Research Center (HUVAC), Hacettepe University, Ankara, Turkey.
Objectives: Chronic periaortitis (CP) is a less known but more frequently diagnosed fibro-inflammatory disorder, but we know little about it and data regarding follow-up and outcome are still very limited. This study aims to identify the clinicopathologic, laboratory, and radiologic features, as well as outcomes of CP patients.
Methods: Patients with CP from HUVAC database were included in the study.
Surgical strategy of IgG4-related inflammatory abdominal aortic aneurysm with preoperative steroid therapy: A case report.
Ann Vasc Surg
November 2021
Department of Cardiovascular Surgery, Osaka Saiseikai NOE Hospital, Osaka, Japan.
Immunoglobulin G4 (IgG4)-related disease, characterized by high serum IgG4 concentrations and IgG4-positive plasma cell infiltration, often presents as an inflammatory aneurysm. We herein report the case of a 78 year-old man, presenting with elevated inflammatory markers and IgG4 concentrations, who was diagnosed with IgG4-related inflammatory abdominal aortic aneurysm with dense perianeurysmal fibrosis. Before the surgical intervention, steroid therapy was administered to resolve his perianeurysmal inflammatory fibrosis.
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