A Case of Ruptured Immunoglobulin G4-Related Periaortitis

An 80-year-old man had high serum immunoglobulin G4 (IgG4) concentration and fibrous thickening of the soft tissue mass surrounding the region from the abdominal aorta to the bilateral iliac arteries, suggestive of IgG4-related periaortitis. He presented to our emergency department with sudden-onset...

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Autores principales: Hasegawa, Masahiko, Sakurai, Yuusuke, Nakata, Shunsuke, Horiuchi, Kazutaka, Komoda, Satsuki, Mizutani, Shinnichi, Yuasa, Takeshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6957895/
https://www.ncbi.nlm.nih.gov/pubmed/31942217
http://dx.doi.org/10.3400/avd.cr.19-00066
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author Hasegawa, Masahiko
Sakurai, Yuusuke
Nakata, Shunsuke
Horiuchi, Kazutaka
Komoda, Satsuki
Mizutani, Shinnichi
Yuasa, Takeshi
author_facet Hasegawa, Masahiko
Sakurai, Yuusuke
Nakata, Shunsuke
Horiuchi, Kazutaka
Komoda, Satsuki
Mizutani, Shinnichi
Yuasa, Takeshi
author_sort Hasegawa, Masahiko
collection PubMed
description An 80-year-old man had high serum immunoglobulin G4 (IgG4) concentration and fibrous thickening of the soft tissue mass surrounding the region from the abdominal aorta to the bilateral iliac arteries, suggestive of IgG4-related periaortitis. He presented to our emergency department with sudden-onset abdominal pain and lumbago. Computed tomography revealed a ruptured abdominal aorta. He was a poor candidate for open surgery due to his hostile abdomen. Therefore, endovascular aneurysm repair was performed. No consensus about the surgical indication for IgG4-related arterial disease has been reached yet. We believe that a novel indicator is needed for this disease.
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spelling pubmed-69578952020-01-15 A Case of Ruptured Immunoglobulin G4-Related Periaortitis Hasegawa, Masahiko Sakurai, Yuusuke Nakata, Shunsuke Horiuchi, Kazutaka Komoda, Satsuki Mizutani, Shinnichi Yuasa, Takeshi Ann Vasc Dis Case Report An 80-year-old man had high serum immunoglobulin G4 (IgG4) concentration and fibrous thickening of the soft tissue mass surrounding the region from the abdominal aorta to the bilateral iliac arteries, suggestive of IgG4-related periaortitis. He presented to our emergency department with sudden-onset abdominal pain and lumbago. Computed tomography revealed a ruptured abdominal aorta. He was a poor candidate for open surgery due to his hostile abdomen. Therefore, endovascular aneurysm repair was performed. No consensus about the surgical indication for IgG4-related arterial disease has been reached yet. We believe that a novel indicator is needed for this disease. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2019-12-25 /pmc/articles/PMC6957895/ /pubmed/31942217 http://dx.doi.org/10.3400/avd.cr.19-00066 Text en Copyright © 2019 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ ©2019 The Editorial Committee of Annals of Vascular Diseases. 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
Hasegawa, Masahiko
Sakurai, Yuusuke
Nakata, Shunsuke
Horiuchi, Kazutaka
Komoda, Satsuki
Mizutani, Shinnichi
Yuasa, Takeshi
A Case of Ruptured Immunoglobulin G4-Related Periaortitis
title A Case of Ruptured Immunoglobulin G4-Related Periaortitis
title_full A Case of Ruptured Immunoglobulin G4-Related Periaortitis
title_fullStr A Case of Ruptured Immunoglobulin G4-Related Periaortitis
title_full_unstemmed A Case of Ruptured Immunoglobulin G4-Related Periaortitis
title_short A Case of Ruptured Immunoglobulin G4-Related Periaortitis
title_sort case of ruptured immunoglobulin g4-related periaortitis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6957895/
https://www.ncbi.nlm.nih.gov/pubmed/31942217
http://dx.doi.org/10.3400/avd.cr.19-00066
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