A Case of Ruptured Immunoglobulin G4-Related Periaortitis
| Autor: | Shunsuke Nakata, Yuusuke Sakurai, Shinnichi Mizutani, Satsuki Komoda, Takeshi Yuasa, Kazutaka Horiuchi, Masahiko Hasegawa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Arterial disease medicine.medical_treatment Case Report 030204 cardiovascular system & hematology Endovascular aneurysm repair 03 medical and health sciences 0302 clinical medicine medicine.artery Immunoglobulin g4 parasitic diseases medicine inflammatory abdominal aortic aneurysm business.industry Open surgery Abdominal aorta General Medicine Emergency department aortic disease endovascular surgery medicine.anatomical_structure 030228 respiratory system Abdomen Radiology medicine.symptom business |
| Zdroj: | Annals of Vascular Diseases |
| ISSN: | 1881-6428 1881-641X |
| Popis: | An 80-year-old man had high serum immunoglobulin G4 (IgG4) concentration and fibrous thickening of the soft tissue mass surrounding the region from the abdominal aorta to the bilateral iliac arteries, suggestive of IgG4-related periaortitis. He presented to our emergency department with sudden-onset abdominal pain and lumbago. Computed tomography revealed a ruptured abdominal aorta. He was a poor candidate for open surgery due to his hostile abdomen. Therefore, endovascular aneurysm repair was performed. No consensus about the surgical indication for IgG4-related arterial disease has been reached yet. We believe that a novel indicator is needed for this disease. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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