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Online ISSN 1827-1847
Cardia G. 1, Tumolo R. 2, Cianci V. 1, Carrieri G. 3, Nacchiero M. 1
1 Unit and Division of Surgery III, Polyclinc Hospital University of Bari, Bari, Italy
2 Unit of Ward and Urgency Medicine and Surgery “A. Perrino” Hospital, Brindisi, Italy
3 Unit of Urology University of Bari, Bari, Italy
Inflammatory abdominal aortic aneurysms are characterized by chronic inflammation and fibrosis of the entire wall. The aetiology is uncertain: they are tipically infra-renal and recur most frequently under-60 males. The symptoms are connected to compression or fibrotic involvement of adjacent organs (urether, inferior vena cava, duodenum, bowel, etc.). We report a case characterized by atypical onset: the patient first complained of lymphostatic edema associated with a chronic inflammatory reaction of inguinal nodes at the left leg. Due to the dimension of the aortic dilatation (>5 cm) and to the involvement of left urether and kidney, the patient underwent surgical treatment, with associated steroids in the follow-up.