Das inflammatorische Bauchaortenaneurysma. [Inflammatory abdominal aortic aneurysm]

Détails

ID Serval
serval:BIB_9327621F74B9
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Das inflammatorische Bauchaortenaneurysma. [Inflammatory abdominal aortic aneurysm]
Périodique
Schweizerische Medizinische Wochenschrift
Auteur(s)
Siebenmann  R., Schneider  K., von Segesser  L., Turina  M.
ISSN
0036-7672
Statut éditorial
Publié
Date de publication
06/1988
Peer-reviewed
Oui
Volume
118
Numéro
23
Pages
881-8
Notes
English Abstract
Journal Article --- Old month value: Jun 11
Résumé
348 cases of abdominal aortic aneurysm were reviewed for typical features of inflammatory aneurysm (IAAA) (marked thickening of aneurysm wall, retroperitoneal fibrosis and rigid adherence of adjacent structures). IAAA was present in 15 cases (14 male, 1 female). When compared with patients who had ordinary aneurysms, significantly more patients complained of back or abdominal pain (p less than 0.01). Erythrocyte sedimentation rate was highly elevated. Diagnosis was established in 7 of 10 computed tomographies. 2 patients underwent emergency repair for ruptured aneurysm. Unilateral ureteral obstruction was present in 4 cases and bilateral in 1. Repair of IAAA was performed by a modified technique. Histological examination revealed thickening of the aortic wall, mainly of the adventitial layer, infiltrated by plasma cells and lymphocytes. One 71-year-old patient operated on for rupture of IAAA died early, and another 78-year-old patient after 5 1/2 months. Control computed tomographies revealed spontaneous regression of inflammatory infiltration after repair. Equally, hydronephrosis due to ureteral obstruction could be shown to disappear or at least to decrease. IAAA can be diagnosed by computed tomography with high sensitivity. Repair involves low risk, but modification of technique is necessary. The etiology of IAAA remains unclear.
Mots-clé
Aneurysm, Infected/*complications/diagnosis/surgery Aorta, Abdominal Aortic Aneurysm/*complications/diagnosis/surgery Blood Sedimentation Female Humans Male Middle Aged Retrospective Studies Rupture, Spontaneous Tomography, X-Ray Computed
Pubmed
Web of science
Création de la notice
14/02/2008 15:16
Dernière modification de la notice
03/03/2018 19:34
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