A Rare Case of Granulomatosis with Polyangiitis-Related Periaortitis at the Ascending Aorta
홍상협, 홍길선, 이충욱, 김기홍,
소속 상세정보
홍상협 ( Hong Sang-Hyup )
University of Ulsan College of Medicine Asan Medical Center Department of Radiology
홍길선 ( Hong Gil-Sun )
University of Ulsan College of Medicine Asan Medical Center Department of Radiology
이충욱 ( Lee Choong-Wook )
University of Ulsan College of Medicine Asan Medical Center Department of Radiology
김기홍 ( Kim Gi-Hong )
Cheju Halla General Hospital Department of Radiology
Abstract
Acute aortic syndrome including intramural hematoma is a life-threatening disease encountered in the emergency department with high in-hospital mortality even when a timely diagnosis is made. Therefore, accurate differential diagnosis of acute aortic syndrome and its mimics is important to determine the patient's treatment plan. Until now, a few pathologic diseases mimicking aortic intramural hematoma such as periaortic lymphoma and immunoglobulin G4-elated periaoritis have been reported. Here, we report a rare case of granulomatosis with polyangiitis-related periaortitis misdiagnosed as aortic intramural hematoma presenting to the emergency department with chest pain and similar radiologic findings.
키워드
Granulomatosis With Polyangiitis; Aortic Diseases; Vasculitis; Spiral CT; PET-CT
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