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Moon, Kim, Kim, An, Lee, Song, Kang, Cho, Hwang, and Kim: A Case of Periaortitis Diagnosed with Abdomen CT in a Patient with Malignant Fibrous Histiocytosis
Case Report

Journal of Lipid and Atherosclerosis 2013; 2(1): 41-44.

Published online: 15 May 2013

DOI: https://doi.org/10.12997/jla.2013.2.1.41

A Case of Periaortitis Diagnosed with Abdomen CT in a Patient with Malignant Fibrous Histiocytosis

Se Kwun Moon, Kyung Hwan Kim, Hee Jong Kim, Hong Ju An, Sang Sun Lee, Ho Yeong Song, Won Yu Kang, Sang Cheol Cho, Sun Ho Hwang, Wan Kim

Department of Internal Medicine, Gwangju Veterans Hospital, Gwangju, Korea.

Corresponding Author: Won Yu Kang, Department of Internal Medicine, Gwangju Veterans Hospital, 887-1, Sanwoldong, Gwangsangu, Gwangju 506-705, Korea. Tel: +82-62-602-6288, gpkwy@naver.com

Received 5 April 2013       Revised 25 April 2013       Accepted 29 April 2013

© 2013 The Korean Society Lipidology and Atherosclerosis.

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Periaortitis is a very rare disease, characterized by a fibro-inflammatory tissue which develops around abdominal aorta and iliac arteries, and spreads into the structures of retroperitoneum. Computed tomography (CT) or magnetic resonance imaging (MRI) is the modality of choice for the diagnosis. Here, we report a case of periaortitis diagnosed with abdomen CT in patient with malignant fibrous histiocytoma.

Keywords: Periaortitis, Retroperitoneal fibrosis, Malignant fibrous histiocytoma

Figures and Tables

Fig. 1
Initial computed-tomography (CT) and after 1 month of steroid treatment. (A) shows soft tissue lesion in periaortic area (infrarenal abdominal aorta) with delayed enhancement (arrow) and (B) shows follow-up CT, marked improvement of soft tissue lesion (arrow) in periaortic area.
jla-2-41-g001
Fig. 2
(A) shows microscopic appearance of spindle cell (thin arrow), pleomorphic cell (thick arrow) and myxoid background (H&E, ×200). (B) shows magnetic resonance imaging (MRI) that well defined, longitudinally elongated mass lesion with septation and heterogenous enhancement in pretibial muscle layer.
jla-2-41-g002

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