Presentation
Lower limb pain
Patient Data
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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