scholarly journals A case of systemic lupus erythematosus complicated with dissecting aortic aneurysm.

1989 ◽  
Vol 78 (4) ◽  
pp. 591-592 ◽  
Author(s):  
Katsumi KIMURA ◽  
Takakichi MAETA ◽  
Kozo SHITOMI ◽  
Kensuke TAKATA ◽  
Katsuhiko SUDO ◽  
...  
2000 ◽  
Vol 29 (2) ◽  
pp. 106-109 ◽  
Author(s):  
Tadashi Motomura ◽  
Tadashi Tashiro ◽  
Syungo Sukehiro ◽  
Katsuhiko Nakamura ◽  
Ryuiti Shibano ◽  
...  

2001 ◽  
Vol 11 (3) ◽  
pp. 238-241 ◽  
Author(s):  
T. Tsuji ◽  
Y. Ishiguro ◽  
Y. Nakui ◽  
Y. Murata ◽  
A. Munakata ◽  
...  

Lupus ◽  
1995 ◽  
Vol 4 (1) ◽  
pp. 71-74 ◽  
Author(s):  
Miri Sclair ◽  
Hashem Nassar ◽  
Yaakov Bar-Ziv ◽  
Chaim Putterman

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Valerie R. Ramiro ◽  
Carmegie C. Saliba ◽  
John Anthony D. Tindoc ◽  
Marinette R. Jambaro ◽  
Enrique M. Chua ◽  
...  

Aortic aneurysms are not commonly reported among patients with systemic lupus erythematosus (SLE). We report a case of a 47-year-old Filipino female diagnosed with SLE 17 years ago maintained on prolonged oral steroids, azathioprine, and hydroxychloroquine. She also had lupus nephritis, secondary hypertension, and dyslipidemia. She initially presented with a week-long watery nonbloody diarrhea with associated diffuse crampy abdominal pain and generalized weakness. She was admitted for a week at a provincial hospital and was given an unrecalled antibiotic with resolution of symptoms. Upon discharge, however, she experienced two weeks of severe right lower quadrant pain radiating to the back and left lower quadrant, with no history of diarrhea, vomiting, dysuria, and fever. Complete blood count showed slight leukocytosis and elevated C-reactive protein. Abdominal imaging revealed a saccular infrarenal aneurysm with dissection. An atherosclerotic mechanism was primarily considered, but a vasculitic process was likewise considered due to elevated acute phase reactants. The initial plan was Endovascular Aneurysm Repair (EVAR) but due to financial limitations, an exploratory laparotomy with infrarenal endoaneurysmorrhaphy was eventually performed. Intraoperative findings were a saccular infrarenal aneurysm with dissection up to the proximal right common iliac artery and an abscess compartment within the false lumen in the anterior aortic wall. Abscess culture yielded high growth of Salmonella group B. Micrographs of the aortic wall biopsy showed fibrin deposition necrosis and calcification with peripheral viable cellular infiltrates consisting of neutrophils and foamy macrophages. Inadvertently placing an endovascular graft in an infected aortic aneurysm would have led to graft infection and catastrophic morbidity. We highlight the significance of having a high index of suspicion for infectious causes of aortitis among immunocompromised patients presenting with aneurysm prior to pursuing an endovascular versus an open approach for repair.


2010 ◽  
Vol 49 (20) ◽  
pp. 2263-2266 ◽  
Author(s):  
Tomoko Miyashita ◽  
Yukio Abe ◽  
Yasuyuki Kato ◽  
Eiichiro Nakagawa ◽  
Ryushi Komatsu ◽  
...  

Surgery ◽  
1999 ◽  
Vol 125 (6) ◽  
pp. 635
Author(s):  
Nobusuke Ohara ◽  
Tetsuro Miyata ◽  
Hiroshi Shigematsu

Sign in / Sign up

Export Citation Format

Share Document