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[炎性主动脉瘤及其与泌尿系统疾病的关系:病例报告及文献综述]

[Inflammatory aortic aneurysm and its relationship to urological disease: a case report and a literature review].

作者信息

Senarriaga Ruiz de la Illa Nerea, Vega Manrique Reyes, Lacasa Viscasillas Isabel, Arciniega García Jesús María, Unda Urzaiz Miguel

机构信息

Servicio de Urología, Hospital de Basurto, Bilbao, España.

出版信息

Actas Urol Esp. 2009 Oct;33(9):1024-7. doi: 10.1016/s0210-4806(09)72904-3.

DOI:10.1016/s0210-4806(09)72904-3
PMID:19925765
Abstract

OBJECTIVE

To report a successfully treated case of inflammatory aortic aneurysm.

MATERIALS AND METHODS

A 57-year-old patient reported low back pain and urinary infections. An abdominal CT scan revealed a large inflammatory aneurysm in the abdominal aorta. An aortic bypass was performed with no complications.

RESULTS

Patient course since surgery has been uneventful, and currently has no symptoms.

CONCLUSIONS

Contribution of the radiographic team, mainly with the CT scan, is of great value both for differential diagnosis and adequate management and follow-up. Surgery is indicated to prevent aneurysm rupture, but an increased postoperative morbidity and mortality should be assumed.

摘要

目的

报告一例成功治疗的炎性主动脉瘤病例。

材料与方法

一名57岁患者出现腰痛和泌尿系统感染。腹部CT扫描显示腹主动脉有一个巨大的炎性动脉瘤。进行了主动脉旁路移植术,无并发症。

结果

术后患者病程平稳,目前无症状。

结论

放射科团队的贡献,主要是通过CT扫描,对鉴别诊断、适当的管理和随访都具有重要价值。手术是为了预防动脉瘤破裂,但应考虑术后发病率和死亡率会增加。

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