Inflammatory solitary iliac artery aneurysms: a report of two cases.
Inflammatory abdominal aortic aneurysms are associated with atherosclerosis, which are characterized by specific clinical manifestation. We treated two patients with unilateral solitary iliac artery aneurysms with perianeurysmal fibrosis which compressed the ureter resulting in ipsilateral hydronephrosis. After the iliac artery aneurysm was repaired with a prosthetic graft, the hydronephrosis resolved. Microscopically, there was clear evidence of atherosclerosis in one case. There was a characteristic inflammatory reaction around the adventitia in both aneurysms. Localized iliac perianeurysmal fibrosis has not been particularly described. The clinicopathologic similarities between these cases and inflammatory abdominal aortic aneurysms suggest the same pathogenesis.
Shindo
S
S
Second Department of Surgery, Yamanashi Medical University, 1110 Shimokato, Tamaho-cho, Nakakoma-gun, Yamanashi 409-3898, Japan. sshindo@res.yamanashi-med.ac.jp
Kubota
K
K
Kojima
A
A
Iyori
K
K
Ishimoto
T
T
Kobayashi
M
M
Kamiya
K
K
Tada
Y
Y
D000368:Aged; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D007083:Iliac Artery / Q000473:pathology; D007249:Inflammation; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D017539:Tunica Intima / Q000473:pathology; D017540:Tunica Media / Q000473:pathology