Shindo S, Kubota K, Kojima A, Iyori K, Ishimoto T, Kobayashi M, Kamiya K, Tada Y
Second Department of Surgery, Yamanashi Medical University, 1110 Shimokato, Tamaho-cho, Nakakoma-gun, Yamanashi 409-3898, Japan.
Cardiovasc Surg. 2001 Dec;9(6):615-9. doi: 10.1016/s0967-2109(01)00013-8.
Inflammatory abdominal aortic aneurysms are associated with atherosclerosis, which are characterized by specific clinical manifestation. We treated two patients with unilateral solitary iliac artery aneurysms with perianeurysmal fibrosis which compressed the ureter resulting in ipsilateral hydronephrosis. After the iliac artery aneurysm was repaired with a prosthetic graft, the hydronephrosis resolved. Microscopically, there was clear evidence of atherosclerosis in one case. There was a characteristic inflammatory reaction around the adventitia in both aneurysms. Localized iliac perianeurysmal fibrosis has not been particularly described. The clinicopathologic similarities between these cases and inflammatory abdominal aortic aneurysms suggest the same pathogenesis.
炎性腹主动脉瘤与动脉粥样硬化相关，具有特定的临床表现。我们治疗了两名患有单侧孤立性髂动脉瘤且伴有瘤周纤维化的患者，瘤周纤维化压迫输尿管导致同侧肾积水。在用人工血管修复髂动脉瘤后，肾积水得以缓解。显微镜检查显示，其中一例有明确的动脉粥样硬化证据。两个动脉瘤的外膜周围均有特征性的炎症反应。局限性髂动脉瘤周纤维化尚未有特别描述。这些病例与炎性腹主动脉瘤在临床病理上的相似性提示了相同的发病机制。
