Korean J Thorac Cardiovasc Surg.  2019 Aug;52(4):239-242. 10.5090/kjtcs.2019.52.4.239.

Immunoglobulin G4-Related Aortitis of the Abdominal Aorta

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Jinju, Korea. cspark@gnuch.co.kr, ilikerem@hanmail.net
  • 2Department of Pathology, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Jinju, Korea.
  • 3Division of Rheumatology, Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Jinju, Korea.

Abstract

Noninfectious aortitis, inflammatory abdominal periaortitis, and idiopathic retroperitoneal fibrosis are chronic inflammatory diseases with unclear causes. Recent studies have shown that some cases of aortitis are associated with immunoglobulin G4 (IgG4)-related systemic disease. Herein, we report a case of IgG4-related aortitis (IgG4-RA) that was diagnosed after surgery. Our patient was a 46-year-old man who had experienced abdominal pain for several weeks. Preoperative evaluations revealed an area of aortitis on the infrarenal aorta. He underwent surgery, and histological examination resulted in a diagnosis of IgG4-RA.

Keyword

Aortitis; Arteritis; Retroperitoneal fibrosis

MeSH Terms

Abdominal Pain
Aorta
Aorta, Abdominal*
Aortitis*
Arteritis
Diagnosis
Humans
Immunoglobulins*
Middle Aged
Retroperitoneal Fibrosis
Immunoglobulins
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