Unique Presentation of an Inflammatory Abdominal Aortic Aneurysm With Rhabdomyolysis

OBJECTIVE: This study reports the case of a 72 year old male who presented with rhabdomyolysis and a symptomatic juxtarenal inflammatory abdominal aortic aneurysm (IAAA). He underwent open repair of his IAAA with a polytetrafluoroethylene graft using the transperitoneal approach. RESULTS: The patient's aneurysm had significant inflammation with a thick rind of friable tissue overlying the native aorta. He had no history of autoimmune disease to serve as a potential trigger of his symptomatic IAAA. Prior to his presentation, however, he did experience three months of myalgia, with a concomitant creatine kinase elevation to 20,000 U/L and gross haematuria. CONCLUSION: It is proposed that rhabdomyolysis and its accompanying inflammatory state may serve as a trigger for IAAA.