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感染性还是非感染性？破裂、血栓形成的炎症性主动脉瘤合并脊椎裂。

Infectious or noninfectious? Ruptured, thrombosed inflammatory aortic aneurysm with spondylolysis.

机构信息

Department of Radiology and Diagnostic Imaging, Medical University of Łódź, ul. Kopcińskiego 22, 90-159 Łódź, Poland.

出版信息

Cardiovasc Intervent Radiol. 2013 Jun;36(3):839-43. doi: 10.1007/s00270-012-0464-3. Epub 2012 Sep 13.

DOI:10.1007/s00270-012-0464-3
PMID:22972586
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3646157/
Abstract

Osteolysis of vertebrae due to inflammatory aortic aneurysm is rarely observed. However, it is estimated that up to 10 % of infectious aneurysms coexist with bone tissue destruction, most commonly the vertebrae. Inflammatory aneurysms with no identified infection factor, along with infiltration of adjacent muscle and in particular extensive destruction of bone tissue have rarely been described in the literature. A case of inflammatory aneurysm with posterior wall rupture and inflammatory infiltration of the iliopsoas muscle and spine, together with extensive vertebral body destruction, is presented. The aneurysm was successfully treated with endovascular aneurysm repair EVAR.

摘要

炎性腹主动脉瘤导致的椎体溶骨性破坏较为罕见。然而，据估计，多达 10%的感染性动脉瘤合并骨组织破坏，最常见的是椎体。文献中很少描述无明确感染因素的炎性动脉瘤，同时伴有邻近肌肉浸润，特别是广泛的骨组织破坏。本文报告了一例炎性腹主动脉瘤伴后壁破裂、腰大肌和脊柱炎性浸润，以及广泛的椎体破坏。该动脉瘤通过血管内动脉瘤修复术（EVAR）成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a3/3646157/a19dc1d2587e/270_2012_464_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a3/3646157/0ef4ea14ca35/270_2012_464_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a3/3646157/3dc54c505a99/270_2012_464_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a3/3646157/e779541682c3/270_2012_464_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a3/3646157/a19dc1d2587e/270_2012_464_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a3/3646157/0ef4ea14ca35/270_2012_464_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a3/3646157/3dc54c505a99/270_2012_464_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a3/3646157/e779541682c3/270_2012_464_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a3/3646157/a19dc1d2587e/270_2012_464_Fig4_HTML.jpg

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本文引用的文献

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Contained rupture of an inflammatory abdominal aortic aneurysm into the iliopsoas muscle: report of a case.炎症性腹主动脉瘤向髂腰肌内的局限性破裂：病例报告
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Repetitive contained rupture of an infected abdominal aortic aneurysm with concomitant vertebral erosion.
感染性腹主动脉瘤反复局限性破裂伴椎体侵蚀。
Ann Vasc Surg. 2010 Aug;24(6):824.e1-5. doi: 10.1016/j.avsg.2010.02.024. Epub 2010 May 14.
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Persistent chronic peri-aortitis ('inflammatory aneurysm') after abdominal aortic aneurysm repair: systematic review of the literature.
Vasc Med. 2008 Nov;13(4):293-303. doi: 10.1177/1358863X08091147.
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A comparison of computed tomography, magnetic resonance imaging, and digital subtraction angiography findings in the diagnosis of infected aortic aneurysm.计算机断层扫描、磁共振成像和数字减影血管造影在感染性主动脉瘤诊断中的表现比较
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Endovascular exclusion of mycotic aortic aneurysm.感染性主动脉瘤的血管腔内隔绝术。
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