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Vascular and Endovascular Surgery
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A Corticosteroid-Responsive Inflammatory Abdominal Aortic Aneurysm Developing from an Atherosclerotic Aneurysm

A Case Report

Yoshio Kobayashi

Division of Cardiology, Department of Internal Medicine, National Cardiovascular Center

Hiroshi Matsuo

Division of Cardiology, Department of Internal Medicine, National Cardiovascular Center

Satoshi Homma

Division of Cardiology, Department of Internal Medicine, National Cardiovascular Center

Tokio Hayashi

Division of Cardiology, Department of Internal Medicine, National Cardiovascular Center

Nobuko Tsushima

Division of Cardiology, Department of Internal Medicine, National Cardiovascular Center

Shinichi Takamoto

Division of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan

An uncomplicated atherosclerotic abdominal aortic aneurysm in a seventy-one-year-old woman was found to have increased substantially in size. Abdominal computed tomog raphy (CT) demonstrated an abdominal aortic aneurysm with a thick mantle of material having the density of soft tissue abutting its anterior and lateral walls and hydronephrosis of the right kidney due to an encased ureter. Low-dose corticosteroid therapy was given for forty days. On subsequent CT scanning, most of the thick soft- tissue mass surrounding the dilatated aorta and the hydronephrosis had disappeared, which simplified the surgical repair that was then performed. Pathologic examination of the mass showed inflammatory tissue.

Vascular and Endovascular Surgery, Vol. 29, No. 5, 417-420 (1995)
DOI: 10.1177/153857449502900512
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