Chronic periaortitis: A clinical approach

Chronic periaortitis (CP) is a rare disease characterised by the presence of a fibro-inflammatory tissue typically enveloping the abdominal aorta, the iliac arteries and, in some cases, the nearby structures, such as the ureters and the inferior vena cava. Imaging plays a key role in the diagnosis a...

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Bibliographic Details
Published in:La revue de medecine interne 2023-02, Vol.44 (2), p.79-84
Main Authors: Gianfreda, D., Superchi, E., Peyronel, F., Mazzariol, M., Vaglio, A.
Format: Article
Language:English
Subjects:
Aorta, Abdominal - pathology
Aortitis
Diagnosis, Differential
Humans
Hydronephrosis
IgG4
Magnetic Resonance Imaging
Periaortitis
Retroperitoneal fibrosis
Retroperitoneal Fibrosis - complications
Retroperitoneal Fibrosis - diagnosis
Retroperitoneal Fibrosis - therapy
Tomography, X-Ray Computed
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Summary:Chronic periaortitis (CP) is a rare disease characterised by the presence of a fibro-inflammatory tissue typically enveloping the abdominal aorta, the iliac arteries and, in some cases, the nearby structures, such as the ureters and the inferior vena cava. Imaging plays a key role in the diagnosis and follow-up: computed tomography and magnetic resonance imaging scans are used to define the extension of the pathological tissue, whereas fluorodeoxyglucose positron emission tomography is the gold standard to establish the degree of its metabolic activity. CP must be distinguished from secondary forms of periaortic infiltration, which include malignant, infectious, and drug-related aetiologies. This review focuses on the clinical aspects of CP and the differential diagnosis with secondary cases, and aims to provide the clinician with a guide through this challenging clinical approach.
ISSN:0248-8663
1768-3122
DOI:10.1016/j.revmed.2022.11.009