Isolated periaortitis

Presentation

Lower limb pain

Patient Data

Age: 55 years
Gender: Female
Modality: CT

There is an apparent soft tissue density surrounding the infrarenal segment of the abdominal aorta resulting to mural irregularity, luminal narrowing and stenosis at the bifurcation and bilateral proximal common iliac arteries. These findings are suggestive of an inflammatory process.

The distal iliac arteries are patent.

Relatively hypoplastic ectopic right kidney is seen in the pelvic region with hypoplastic renal artery arising from the left common iliac artery just after the bifurcation.

The rest of the branches of the abdominal aorta show normal opacification and course with no significant stenosis or occlusion.

Multiple prominent para-aortic and iliac lymph nodes are observed.

Case Discussion

This case shows findings which may be compatible with isolated periaortitis, which is a non-aneurysmal form of chronic periaortitis.

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Case Information

rID: 52283
Case created: 31st Mar 2017
Last edited: 4th Apr 2017
System: Vascular
Inclusion in quiz mode: Included

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