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Published on: May 23, 2021
Infectious or noninfectious? Ruptured, thrombosed inflammatory aortic aneurysm with spondylolysis
Ludomir Stefańczyk1, Marcin Elgalal, Andrzej Papiewski
1Department of Radiology and Diagnostic Imaging, Medical University of Łódź, ul. Kopcińskiego 22, 90-159 Łódź, Poland.
Abstract:
Osteolysis of vertebrae due to inflammatory aortic aneurysm is rarely observed. However, it is estimated that up to 10 % of infectious aneurysms coexist with bone tissue destruction, most commonly the vertebrae. Inflammatory aneurysms with no identified infection factor, along with infiltration of adjacent muscle and in particular extensive destruction of bone tissue have rarely been described in the literature. A case of inflammatory aneurysm with posterior wall rupture and inflammatory infiltration of the iliopsoas muscle and spine, together with extensive vertebral body destruction, is presented. The aneurysm was successfully treated with endovascular aneurysm repair EVAR.
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