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[Inflammatory abdominal aortic aneurysm].

R Siebenmann1, K Schneider, L von Segesser

  • 1Klinik für Herzgefässchirurgie, Universitätsspital Zürich.

Schweizerische Medizinische Wochenschrift
|June 11, 1988
PubMed
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Inflammatory abdominal aortic aneurysms (IAAA) present with distinct features and symptoms like pain and elevated ESR. Computed tomography aids diagnosis, and while repair has low risk, modified techniques are essential for managing this condition.

Area of Science:

  • Vascular Surgery
  • Inflammatory Diseases
  • Diagnostic Imaging

Context:

  • Abdominal aortic aneurysm (AAA) is a serious condition.
  • Inflammatory AAA (IAAA) is a distinct subtype with unique pathological features.
  • Accurate diagnosis and effective management are crucial for patient outcomes.

Purpose:

  • To review cases of abdominal aortic aneurysm to identify features of IAAA.
  • To evaluate the diagnostic accuracy of computed tomography (CT) for IAAA.
  • To assess the outcomes of surgical repair for IAAA and its complications.

Summary:

  • 348 AAA cases were reviewed; 15 showed IAAA features (thickened wall, fibrosis, adherence).
  • IAAA patients reported more back/abdominal pain and had elevated ESR.

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  • CT diagnosed IAAA in 7/10 cases; complications included ureteral obstruction. Modified repair techniques were used, with positive post-operative CT findings of reduced inflammation and obstruction.

    • Impact:

    • IAAA can be diagnosed with high sensitivity using CT.
    • Surgical repair of IAAA, though requiring modified techniques, carries low risk.
    • Understanding IAAA's presentation and management improves patient care, despite its unclear etiology.