The role of spiral computed tomography in the diagnosis of inflammatory abdominal aortic aneurysms

Hippokratia 2003, 7(4):186-190

G. Grollios, K. Papazoglou, K. Tsarouxas, Ir. Kazantzidou, G. Anastasiou, K. Tsinoglou, T. Karakozoglou, D. Daravigkas, Gr. Terzis, Th. Gerasimidis


The aim of the study was to investigate the contribution of spiral computed tomography with simultaneous bolus injection of contrast agents in the prompt, accurate diagnosis and the postoperative course of inflammatory abdominal aortic aneurysms and their proper treatment.Inflammatory abdominal aortic aneurysms are associated with high morbidity and mortality.From January 2000 to May 2003, 11 patients with inflammatory abdominal aortic aneurysm of average age 66,7 years (10male and 1 female) were examined by the means of spiral CT and they were submitted to the hospital with the indication of abdominal aortic aneurysm.They were treated with intralumenar stent placement and reexamined postoperatively. The radiomorphological findings with the use of spiral CT suggested inflammatory aneurysm, with the development of the characteristic periaortic mass outside the calcified aortic wall, due to perianeurysmal fibrosis.In 2 of the patients this mass produced retroperitoneal fibrosis with strangulation of the ureters and hydronephrosis.Spiral CT is the main diagnostic method in the case of inflammatory abdominal aortic aneurysms. It also demonstrates excellently the prosthesis inside the aneurysm and the retroperitoneal structures.