Inflammatory aortic aneurysm a rare presentation of abdominal aortic aneurysm (AAA): A case report study

IF 0.6 Q4 SURGERY International Journal of Surgery Case Reports Pub Date : 2025-01-01 Epub Date: 2024-11-29 DOI:10.1016/j.ijscr.2024.110692

Saeed Yousefi , Peyman Hejazi , Hossein Hemmati , Delaram Fadaee Heydarabadi , Maryam Aghaeezadeh Zoroufi , Hakimeh Sarshad

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Abstract

Introduction

An Inflammatory abdominal aortic aneurysm (IAAA) is an inflammatory condition involving the abdominal aorta, accounting for 4–7 % of all abdominal aortic aneurysms (AAAs). In general, AAA is asymptomatic, but IAAA can have some features, including pain, constitutional symptoms, elevated inflammatory markers, and distinguishes findings on imaging.

Presentation of case

This article is about a 65-year-old man with flank pain who was diagnosed incidentally with IAAA and underwent surgery.

Discussion

Surgery (open or endovascular) is the mainstay treatment for AAA, but in IAAA, due to the inflammatory process, making a good decision is a challenge.

Conclusion

In this study open aortic reconstruction was the procedure of choice, and it was done successfully.

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炎性主动脉瘤是一种罕见的腹主动脉瘤（AAA）的表现：1例报告研究。

简介：炎症性腹主动脉瘤（Inflammatory abdominal aortic动脉瘤，IAAA）是一种累及腹主动脉的炎症性疾病，占所有腹主动脉瘤的4- 7%。一般来说，AAA是无症状的，但IAAA可能有一些特征，包括疼痛、体质症状、炎症标志物升高，以及影像学上的不同表现。病例介绍：这篇文章是关于一个65岁的男性腹部疼痛，他被偶然诊断为IAAA并接受了手术。讨论：手术（开放或血管内）是AAA的主要治疗方法，但在IAAA中，由于炎症过程，做出一个好的决定是一个挑战。结论：主动脉开腹重建术是本研究的首选手术方法，且手术成功。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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