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炎性主动脉瘤——腹主动脉瘤(AAA)的一种罕见表现:一项病例报告研究

Inflammatory aortic aneurysm a rare presentation of abdominal aortic aneurysm (AAA): A case report study.

作者信息

Yousefi Saeed, Hejazi Peyman, Hemmati Hossein, Fadaee Heydarabadi Delaram, Zoroufi Maryam Aghaeezadeh, Sarshad Hakimeh

机构信息

Razi Hospital Research Center, Razi hospital, Guilan university of Medical Sciences, Rasht, Iran.

Razi Hospital Research Center, Razi hospital, Guilan university of Medical Sciences, Rasht, Iran.

出版信息

Int J Surg Case Rep. 2025 Jan;126:110692. doi: 10.1016/j.ijscr.2024.110692. Epub 2024 Nov 29.

Abstract

INTRODUCTION

An Inflammatory abdominal aortic aneurysm (IAAA) is an inflammatory condition involving the abdominal aorta, accounting for 4-7 % of all abdominal aortic aneurysms (AAAs). In general, AAA is asymptomatic, but IAAA can have some features, including pain, constitutional symptoms, elevated inflammatory markers, and distinguishes findings on imaging.

PRESENTATION OF CASE

This article is about a 65-year-old man with flank pain who was diagnosed incidentally with IAAA and underwent surgery.

DISCUSSION

Surgery (open or endovascular) is the mainstay treatment for AAA, but in IAAA, due to the inflammatory process, making a good decision is a challenge.

CONCLUSION

In this study open aortic reconstruction was the procedure of choice, and it was done successfully.

摘要

引言

炎性腹主动脉瘤(IAAA)是一种累及腹主动脉的炎性疾病,占所有腹主动脉瘤(AAA)的4-7%。一般来说,AAA无症状,但IAAA可能有一些特征,包括疼痛、全身症状、炎症标志物升高以及影像学上的特征性表现。

病例介绍

本文讲述的是一名65岁有侧腹痛的男性,偶然被诊断为IAAA并接受了手术。

讨论

手术(开放手术或血管腔内手术)是AAA的主要治疗方法,但对于IAAA,由于炎症过程,做出正确决策具有挑战性。

结论

在本研究中,开放主动脉重建是首选的手术方式,且手术成功完成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92d9/11650322/fb52610c9696/gr1.jpg

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