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[Thoracic peri-aortic fibrosis and Ormond disease]

G M Kacl¹, M Bino, F Salomon

¹Departement Medizinische Radiologie, Universitätsspital Zürich.

Aktuelle Radiologie

|May 1, 1995

Summary

Thoracic periaortal fibrosis, a manifestation of Ormond's disease, can lead to inflammatory aneurysms and chronic dissection. This rare condition may present intermittently over many years.

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Area of Science:

Radiology
Cardiovascular Imaging
Fibrotic Diseases

Background:

Retroperitoneal fibrosis, also known as Ormond's disease, is a rare condition characterized by inflammation and fibrosis in the retroperitoneum.
Thoracic involvement is an uncommon but significant manifestation of this disease.

Observation:

This report details two cases of thoracic periaortal fibrosis identified via computed tomography (CT) and magnetic resonance imaging (MRI).
The imaging findings highlight the potential for thoracic periaortal fibrosis to mimic other pathologies.

Findings:

Thoracic periaortal fibrosis can manifest as an inflammatory aneurysm with associated chronic dissection.
The condition's presentation can be intermittent, spanning decades, making diagnosis challenging.

Implications:

Recognizing thoracic periaortal fibrosis is crucial for accurate diagnosis and management of Ormond's disease.
Advanced imaging techniques like CT and MRI are vital for detecting this rare manifestation.
Understanding the long-term and intermittent nature of thoracic periaortal fibrosis aids in patient monitoring and treatment planning.

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