Limited dissection of abdominal aortic aneurysm in a patient with multiple myeloma.
Dissection limited to the abdominal aorta contributes 4% of all aortic dissections, and inflammatory injury of the aortic media is one of factors associated with dissection. In multiple myeloma, leukocytoclastic vasculitis of the skin has been known. We describe limited dissection of an abdominal aortic aneurysm with dense lymphocyte infiltration in a 62-year-old man with multiple myeloma. Although it is unclear whether the lymphocyte infiltration in the aortic wall, which was denser than that of atherosclerotic aneurysm, was associated with multiple myeloma, the excessive aortic wall inflammation may have somewhat influenced aneurysm formation or aortic dissection.
Takagi
Hisato
H
First Department of Surgery, Gifu University School of Medicine, Tsukasa, Gifu, Japan. h-takagi@cc.gifu-u.ac.jp
Mori
Yoshio
Y
Umeda
Yukio
Y
Fukumoto
Yukiomi
Y
Manabe
Hideaki
H
Shimokawa
Kuniyasu
K
Hirose
Hajime
H
D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000150:complications*; D011859:Radiography