title: Aortitis with aneurysm formation as a rare complication of Wegener's granulomatosis.
abstract: Wegener's granulomatosis (WG) is a systemic vasculitis of medium-sized and small blood vessels. Aortic involvement in WG is very uncommon. We present a 43-year-old patient with an aortitis with aneurysm formation as a manifestation of WG. The patient was operated on and an aortoiliac Dacron inlay graft was inserted. Postoperatively, he recovered uneventfully. Abdominal pain occurring during a WG flare may result from vasculitis of large abdominal arteries with or without aneurysmatic changes for which surgical treatment and immunosuppressive agents are indicated to prevent a possible rupture.
authors.affiliation: Departments of General and Vascular Surgery, Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Cagdas
authors.initials: C
authors.lastname: Unlü
authors.forename: Martine
authors.initials: M
authors.lastname: Willems
authors.forename: Ineke J M
authors.initials: IJ
authors.lastname: Ten Berge
authors.forename: Dink A
authors.initials: DA
authors.lastname: Legemate
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D001025:Aortitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D014890:Granulomatosis with Polyangiitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008297:Male; D011093:Polyethylene Terephthalates; D011474:Prosthesis Design; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000893:Anti-Inflammatory Agents; D007166:Immunosuppressive Agents; D011093:Polyethylene Terephthalates