학술논문
[Chronic periaortitis].
Document Type
Academic Journal
Author
Messinetti S; Istituto III Clinica Chirurgica, Università degli Studi di Roma La Sapienza.; Gualdi GF; Giacomelli L; Polettini E; Fabrizio G; Finizio R; Gabatel R; Granai AV; Manno A; Casciani E
Source
Publisher: Casa Editrice Licinio Cappelli Country of Publication: Italy NLM ID: 0372343 Publication Model: Print Cited Medium: Print ISSN: 0003-469X (Print) Linking ISSN: 0003469X NLM ISO Abbreviation: Ann Ital Chir Subsets: MEDLINE
Subject
Language
Italian
ISSN
0003-469X
Abstract
The authors, o the basis of a retrospective analysis of a series of 13 cases of chronic periaortitis, after a review of the literature about the subject, discuss about the most recent theories about pathogenesis, pathological anatomy, diagnosis and treatment of this condition. At first the authors stress the importance of adopting the term chronic periaortitis to describe any idiopathic fibrotic retroperitoneal process, as a consequence of the well established relationship between the atherosclerotic abdominal aorta an the development of this condition. Histological, immunohistochemical and immunological studies, consented to clarify the pathogenesis o the lesion. CT or MRI currently makes the diagnosis but histological confirmation is desiderable. Surgical therapy plays still a fundamental role in the management of chronic periaortitis, but the use of immunosuppressive drugs is to be considered extremely promising.