Faizi Zaheer, Humayun Ammar, Matto Marissa, White Zeyn, Sajja Sai
General Surgery, Crozer-Chester Medical Center, Upland, USA.
Surgery, Crozer-Chester Medical Center, Upland, USA.
Cureus. 2021 Aug 22;13(8):e17366. doi: 10.7759/cureus.17366. eCollection 2021 Aug.
Aortitis is an inflammatory phenomenon involving one or more layers of the aorta and can have infectious or noninfectious etiologies. Complications of aortitis include aneurysm, dissection, and rupture, which can lead to ischemic organs and ultimately death. Noninfectious aortitis is often secondary to trauma or results from a systemic inflammatory process. It is further categorized based on clinical characteristics, laboratory findings, and imaging. There are some cases in which the etiology cannot be determined and is, therefore, idiopathic in nature. We present a case of a 67-year-old male who presented with malaise, abdominal pain, anorexia, and significant weight loss for several months. Imaging revealed retroperitoneal fibrosis and aortitis. After an extensive workup, we diagnosed idiopathic aortitis and treated the patient with high-dose corticosteroids that led to symptom improvement.
主动脉炎是一种累及主动脉一层或多层的炎症现象，病因可能是感染性或非感染性。主动脉炎的并发症包括动脉瘤、夹层和破裂，可导致器官缺血并最终导致死亡。非感染性主动脉炎通常继发于创伤或由全身性炎症过程引起。它根据临床特征、实验室检查结果和影像学进一步分类。有些病例病因无法确定，因此本质上是特发性的。我们报告一例67岁男性，他出现不适、腹痛、厌食和数月来显著体重减轻。影像学检查显示腹膜后纤维化和主动脉炎。经过广泛检查，我们诊断为特发性主动脉炎，并用大剂量皮质类固醇治疗该患者，症状得到改善。
