Magliocca Joseph F, Faerber Gary J, Upchurch Gilbert R
Department of Surgery, University of Wisconsin Hospital and Clinics, Madison, WI, USA.
Ann Vasc Surg. 2005 Nov;19(6):890-5. doi: 10.1007/s10016-005-7713-8.
Inflammatory aneurysms represent only 3-10% of all aortoiliac aneurysms and tend to be more common in men. We report a case of a solitary inflammatory aneurysm of the right common iliac artery in a healthy young woman. The patient presented with persistent abdominal and right flank pain. She had no risk factors for vascular disease, except mild hypertension and a strong family history of aneurysm disease. Her work-up demonstrated a 3.0 cm right common iliac artery aneurysm with intramural thrombus, focal calcification, and perianeurysmal inflammation without evidence of systemic atherosclerosis. There was right hydroureteronephrosis secondary to ureteral compression by the inflammatory aneurysm. She underwent open right common iliac artery aneurysmorraphy with polytetrafluoroethylene interposition graft and concomitant ureterolysis without complication. She remains asymptomatic more than 1 year postoperatively with no evidence of additional aneurysm disease, resolution of her hydroureteronephrosis, and normal kidney function. We report a rare case of a solitary inflammatory aneurysm of the right common iliac artery in a healthy young woman, with a review of the current literature on inflammatory aneurysms.
炎性动脉瘤仅占所有主髂动脉瘤的3% - 10%，且在男性中更为常见。我们报告一例健康年轻女性的右侧髂总动脉孤立性炎性动脉瘤病例。该患者表现为持续性腹痛和右胁腹疼痛。除轻度高血压和动脉瘤疾病家族史外，她无血管疾病危险因素。其检查显示右侧髂总动脉有一个3.0厘米的动脉瘤，伴有壁内血栓、局灶性钙化和动脉瘤周围炎症，无全身动脉粥样硬化证据。因炎性动脉瘤压迫输尿管继发右侧肾盂积水。她接受了右侧髂总动脉动脉瘤修补术，采用聚四氟乙烯插入移植物，并同时进行输尿管松解术，无并发症。术后1年多她仍无症状，无额外动脉瘤疾病证据，肾盂积水消退，肾功能正常。我们报告了一例健康年轻女性右侧髂总动脉孤立性炎性动脉瘤的罕见病例，并对炎性动脉瘤的当前文献进行了综述。
