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Updated: Oct 12, 2025

Isolation and Excision of Murine Aorta; A Versatile Technique in the Study of Cardiovascular Disease
Published on: November 24, 2014
Isolated Abdominal Aortitis Following a Urinary Tract Infection
Ala Mustafa1, Pablo Weilg2, Larry Young3
1Internal Medicine, MercyOne North Iowa Medical Center, Mason City, USA.
A woman with abdominal pain and high blood pressure was diagnosed with isolated abdominal aortitis. Prompt treatment with prednisone led to symptom resolution and no recurrence, highlighting effective steroid therapy for this condition.
Area of Science:
- Vascular Medicine
- Rheumatology
- Diagnostic Imaging
Background:
- Scleritis, an inflammatory eye condition, can be associated with systemic vasculitis.
- Abdominal pain and new-onset hypertension in a middle-aged woman prompted investigation for underlying causes beyond initial urinary tract infection diagnosis.
Observation:
- Despite antibiotic treatment for cystitis, the patient's hypertension and abdominal pain persisted.
- Computed tomography (CT) and magnetic resonance angiography (MRA) revealed inflammatory changes consistent with aortitis.
Findings:
- Extensive workup, including CT angiography, Doppler ultrasound, and FDG-PET, confirmed isolated abdominal aortitis.
- Infectious causes were ruled out, and steroid therapy with prednisone was initiated.
Implications:
- Prednisone treatment resulted in marked symptom improvement.
- A four-month steroid taper led to complete resolution of symptoms without recurrence, highlighting the efficacy of immunosuppression in managing isolated aortitis.
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