Abstract
Atherosclerotic abdominal aortic aneurysms typically present either asymptomatically or with abdominal or back pain. Inflammatory, mycotic, and traumatic aortic aneurysms and aneurysms complicated by venous fistula are less common. The different clinical presentations of these latter aneurysms should raise a suspicion to their diagnosis and appropriate preoperative evaluation. The radiographic and clinical features of inflammatory, mycotic, traumatic, and complicated atherosclerotic aneurysms are presented and discussed.
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Szilagyi ED (1982) Clinical diagnosis of intact and ruptured abdominal aortic aneurysms. In Bergan JJ, Yao JST (eds): Aneurysms: Diagnosis and treatment. Grune and Stratton, New York, pp 205–215
Ormond JK (1948) Bilateral ureteral obstruction due to envelopment and compression by an inflammatory retroperitoneal process. J Urol 59:1072–1970
Serra RM, Engle JE, Jones RE, Schoolwerth AC (1980) Perianeurysmal retroperitoneal fibrosis: An unusual cause of renal failure. Am J Med 68:149–152
Vint VC, Usselman JA, Warmath MA, Dilley RB (1980) Aortic perianeurysmal fibrosis: CT density enhancement and ureteral obstruction. AJ R 134:577–580
Pahira JJ, Wein AJ, Barkee CF, Banner MP, Arger PH, Mulhern C, Pollack H (1979) Bilateral complete ureteral obstruction secondary to an abdominal aortic aneurysm with perianeurysmal fibrosis: Diagnosis by computed tomography. J Urol 121:103–106
Goldstone J, Malone JM, Moore WS (1978) Inflammatory aneurysm of the abdominal aorta. Surgery 83:425–430
Walker DI, Bloor K, Williams G, Gillie I (1972) Inflammatory aneurysm of the abdominal aorta. Br J Surg 59:609–614
Clyne CA, Abercrombie GF (1972) Perianeurysmal retroperitoneal fibrosis: Two cases responding to steroids. Br J Urol 49:463–466
Kaufman SL, White RI Jr, Harrington DP, Barth KH, Siegelman SS (1978) Protein manifestations of mycotic aneurysms. AJR 131:1019–1028
Patels, Johnson KW (1972) Classification and management of mycotic aneurysm. Surg Gynecol Obstetrics 144:691–694
Yellin A (1972) Ruptured mycotic aneurysm, a complication of parenteral drug abuse. Arch Surg 112
Mundth ED, Darling RC, Alvarado RH, Buckley MJ, Linton RR, Austen WG (1969) Surgical management of mycotic aneurysms and the complications of infection in vascular reconstructive surgery. Am J Surg 117:460–470
Nanhaus HP, Javid H (1968) The distinct syndrome of spontaneous abdominal aortocaval fistula. Am J Med 44:464–473
Baker W, Sharzer LA, Ehrenhaft JL (1972) Aortocaval fistula as a complication of abdominal aortic aneurysm. Surgery 72(6):933–938
Reckless JP, McColl I, Taylor GW (1972) Aortocaval fistulae: An uncommon complication of abdominal aortic aneurysm. Br J Surg 59:461–462
Gaylis H, Kessler E (1980) Ruptured aortic aneurysms. Surgery 300–304
Suzuki M, Collins GM, Bassinger GT, Dilley RB (1972) Aorto left renal vein fistula: An unusual complication of abdominal aortic aneurysm. Br J Surg 59:461–462
Merril W, Ernst CB Aorto left renal vein fistula: Hemodynamic monitoring and timing of operation. Surgery 89(6):678–682
Billy L, Amato JJ, Rich NM (1971) Aortic injuries in Vietnam. Surgery 70(3):385–391
Burns GR, Sherman RT (1972) Trauma of the abdominal aorta and inferior vena cava. Am Surg 303–306
Myles RA, Yellin AE (1979) Traumatic injuries of the abdominal aorta. Am J Surg 138:273–277
Matolo N, Danto LA, Wolfman EF Jr (1974) Traumatic aneurysm of the abdominal aorta: Report of two cases and review of the literature. Arch Surg 108:867–869
Robertson G (1967) Combined stab wounds of the aorta and vena cava of the abdomen. Arch Surg 95:12–15
Buscalgia LC, Blaisdell FW, Lim RC Jr (1969) Penetrating abdominal vascular injuries. Arch Surg 99:764–769
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Raabe, R., Lawrence, P.F., Luers, P.R. et al. Radiographic and clinical findings in unusual abdominal aortic aneurysms. Cardiovasc Intervent Radiol 9, 176–181 (1986). https://doi.org/10.1007/BF02577935
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DOI: https://doi.org/10.1007/BF02577935