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Management of an inflammatory abdominal aortic aneurysm causing ureteric obstruction: a case report.

作者信息

Kim Yewon, Ghaly Paul, Iliopoulos Jim, Leslie Gregory J, Ahmad Mehtab

机构信息

Department of Vascular Surgery, Liverpool Hospital, SWSLHD, Liverpool, NSW, Australia.

出版信息

J Surg Case Rep. 2020 Nov 30;2020(11):rjaa457. doi: 10.1093/jscr/rjaa457. eCollection 2020 Nov.

DOI:10.1093/jscr/rjaa457
PMID:33294158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7700772/
Abstract

Inflammatory abdominal aortic aneurysms (IAAAs) are rare large-vessel pathology, with potentially life-threatening complications including obstructive uropathy secondary to retroperitoneal fibrosis. Comprising a small proportion of all AAA, their pathogenesis remains unknown, with the hypothesis of infective and immunological aetiologies circulating in current literature. Management principles of IAAAs aim at prevention of aortic rupture and include open-surgical or endovascular therapies. Due to their involvement of other structures, additional considerations are needed when approaching their management for optimal patient outcomes. We present the case of a 53-year-old otherwise healthy male with a large IAAA complicated by adjacent ureteric obstruction, successfully treated with ureteric stenting and delayed endovascular aortic aneurysm repair.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d95/7700772/7291814238bd/rjaa457f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d95/7700772/ef27f65a4af0/rjaa457f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d95/7700772/c2e87bfc233a/rjaa457f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d95/7700772/92e0b667e9b5/rjaa457f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d95/7700772/7291814238bd/rjaa457f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d95/7700772/ef27f65a4af0/rjaa457f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d95/7700772/c2e87bfc233a/rjaa457f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d95/7700772/92e0b667e9b5/rjaa457f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d95/7700772/7291814238bd/rjaa457f4.jpg

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本文引用的文献

1
Editor's Choice - European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms.编辑推荐——欧洲血管外科学会（ESVS）2019年腹主动脉-髂动脉瘤管理临床实践指南
Eur J Vasc Endovasc Surg. 2019 Jan;57(1):8-93. doi: 10.1016/j.ejvs.2018.09.020. Epub 2018 Dec 5.
2
Endovascular repair versus open repair for inflammatory abdominal aortic aneurysms.炎症性腹主动脉瘤的血管内修复与开放修复对比
Cochrane Database Syst Rev. 2015 Apr 16;2015(4):CD010313. doi: 10.1002/14651858.CD010313.pub2.
3
Inflammatory abdominal aortic aneurysm with retroperitoneal fibrosis.
来氟米特治疗炎性腹主动脉瘤：八年随访病例报告及文献综述
J Geriatr Cardiol. 2021 Oct 28;18(10):847-850. doi: 10.11909/j.issn.1671-5411.2021.10.009.
Circulation. 2014 Oct 7;130(15):1300-2. doi: 10.1161/CIRCULATIONAHA.114.010173.
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Inflammatory aneurysms treated with EVAR.采用 EVAR 治疗炎性动脉瘤。
Semin Vasc Surg. 2012 Dec;25(4):227-31. doi: 10.1053/j.semvascsurg.2012.09.008.
5
A systematic review of open versus endovascular repair of inflammatory abdominal aortic aneurysms.炎症性腹主动脉瘤开放修复与血管腔内修复的系统评价
Eur J Vasc Endovasc Surg. 2009 Sep;38(3):291-7. doi: 10.1016/j.ejvs.2009.05.005. Epub 2009 Jun 21.
6
Pathology, natural history and treatment of abdominal aortic aneurysms.腹主动脉瘤的病理学、自然史及治疗
Clin Res Cardiol. 2007 Mar;96(3):140-51. doi: 10.1007/s00392-007-0472-5. Epub 2006 Dec 22.
7
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J Vasc Surg. 2003 Feb;37(2):280-4. doi: 10.1067/mva.2003.119.