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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY

A Journal on Vascular and Endovascular Surgery


Official Journal of the Italian Society of Vascular and Endovascular Surgery
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Italian Journal of Vascular and Endovascular Surgery 2004 March;11(1):49-50

language: English

Lymphedema of the lower limbs as a complication of abdominal aortic inflammatory aneurysm

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


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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.

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