A Case of Contained Rupture of the Common Iliac Artery with Idiopathic Retroperitoneal Fibrosis: Efficacy of Surgical Treatment and Immunosuppressive Therapy at 2-Year Follow-Up

Rupture of inflammatory aortic aneurysm associated with retroperitoneal fibrosis (RF) is rare. We report a 62-year-old man with an inflammatory abdominal aortic aneurysm (IAAA) complicated with idiopathic RF, resulting in a contained rupture of the common iliac artery. The patient also presented wit...

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Autores principales: Yokota, Ryo, Sakamoto, Shun-Ichiro, Murata, Tomohiro, Hiromoto, Atsushi, Yamaguchi, Takako, Suzuki, Kenji, Kobayashi, Michiko, Kure, Shoko, Takeno, Mitsuhiro, Ishii, Yosuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10064296/
https://www.ncbi.nlm.nih.gov/pubmed/37006861
http://dx.doi.org/10.3400/avd.cr.22-00120
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author Yokota, Ryo
Sakamoto, Shun-Ichiro
Murata, Tomohiro
Hiromoto, Atsushi
Yamaguchi, Takako
Suzuki, Kenji
Kobayashi, Michiko
Kure, Shoko
Takeno, Mitsuhiro
Ishii, Yosuke
author_facet Yokota, Ryo
Sakamoto, Shun-Ichiro
Murata, Tomohiro
Hiromoto, Atsushi
Yamaguchi, Takako
Suzuki, Kenji
Kobayashi, Michiko
Kure, Shoko
Takeno, Mitsuhiro
Ishii, Yosuke
author_sort Yokota, Ryo
collection PubMed
description Rupture of inflammatory aortic aneurysm associated with retroperitoneal fibrosis (RF) is rare. We report a 62-year-old man with an inflammatory abdominal aortic aneurysm (IAAA) complicated with idiopathic RF, resulting in a contained rupture of the common iliac artery. The patient also presented with mild renal insufficiency due to urethral obstruction and left hydronephrosis. Surgical procedures including graft replacement and ureterolysis relieved the symptoms. Postoperative immunosuppressive treatment using corticosteroid and methotrexate successfully maintained clinical remission without signs of recurrence of RF and IAAA at the 2-year follow-up.
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spelling pubmed-100642962023-04-01 A Case of Contained Rupture of the Common Iliac Artery with Idiopathic Retroperitoneal Fibrosis: Efficacy of Surgical Treatment and Immunosuppressive Therapy at 2-Year Follow-Up Yokota, Ryo Sakamoto, Shun-Ichiro Murata, Tomohiro Hiromoto, Atsushi Yamaguchi, Takako Suzuki, Kenji Kobayashi, Michiko Kure, Shoko Takeno, Mitsuhiro Ishii, Yosuke Ann Vasc Dis Case Report Rupture of inflammatory aortic aneurysm associated with retroperitoneal fibrosis (RF) is rare. We report a 62-year-old man with an inflammatory abdominal aortic aneurysm (IAAA) complicated with idiopathic RF, resulting in a contained rupture of the common iliac artery. The patient also presented with mild renal insufficiency due to urethral obstruction and left hydronephrosis. Surgical procedures including graft replacement and ureterolysis relieved the symptoms. Postoperative immunosuppressive treatment using corticosteroid and methotrexate successfully maintained clinical remission without signs of recurrence of RF and IAAA at the 2-year follow-up. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2023-03-25 /pmc/articles/PMC10064296/ /pubmed/37006861 http://dx.doi.org/10.3400/avd.cr.22-00120 Text en © 2023 The Editorial Committee of Annals of Vascular Diseases. https://creativecommons.org/licenses/by-nc-sa/4.0/This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Yokota, Ryo
Sakamoto, Shun-Ichiro
Murata, Tomohiro
Hiromoto, Atsushi
Yamaguchi, Takako
Suzuki, Kenji
Kobayashi, Michiko
Kure, Shoko
Takeno, Mitsuhiro
Ishii, Yosuke
A Case of Contained Rupture of the Common Iliac Artery with Idiopathic Retroperitoneal Fibrosis: Efficacy of Surgical Treatment and Immunosuppressive Therapy at 2-Year Follow-Up
title A Case of Contained Rupture of the Common Iliac Artery with Idiopathic Retroperitoneal Fibrosis: Efficacy of Surgical Treatment and Immunosuppressive Therapy at 2-Year Follow-Up
title_full A Case of Contained Rupture of the Common Iliac Artery with Idiopathic Retroperitoneal Fibrosis: Efficacy of Surgical Treatment and Immunosuppressive Therapy at 2-Year Follow-Up
title_fullStr A Case of Contained Rupture of the Common Iliac Artery with Idiopathic Retroperitoneal Fibrosis: Efficacy of Surgical Treatment and Immunosuppressive Therapy at 2-Year Follow-Up
title_full_unstemmed A Case of Contained Rupture of the Common Iliac Artery with Idiopathic Retroperitoneal Fibrosis: Efficacy of Surgical Treatment and Immunosuppressive Therapy at 2-Year Follow-Up
title_short A Case of Contained Rupture of the Common Iliac Artery with Idiopathic Retroperitoneal Fibrosis: Efficacy of Surgical Treatment and Immunosuppressive Therapy at 2-Year Follow-Up
title_sort case of contained rupture of the common iliac artery with idiopathic retroperitoneal fibrosis: efficacy of surgical treatment and immunosuppressive therapy at 2-year follow-up
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10064296/
https://www.ncbi.nlm.nih.gov/pubmed/37006861
http://dx.doi.org/10.3400/avd.cr.22-00120
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