Mycotic Aneurysms in the Abdominal Aorta and Iliac Arteries: CT-based Grading and Correlation with Surgical Outcomes

Abstract Background and aims: The abdominal aorta usually terminates at the level of L4 vertebral body into common iliac arteries. With the present day advancements in vascular surgery and neurological surgeries involving approach to lumbar vertebral bodies, we need to know any variations from this normal course. So, the present study aimed at knowing the anatomical variations in the termination of abdominal aorta and in common iliac arteries which might prove to be of some help in some of such surgeries. Material and methods: The study was conducted on 35 adult (29 males and 6 females) embalmed cadavers obtained from anatomy departments of Govt. Medical college, Amritsar and Gian Sagar Medical college, Ramnagar, Punjab. The abdominal cavity was opened, peritoneum stripped off from aorta at its bifurcation, variations in its termination, common iliac arteries and their branches were carefully observed and recorded. Results: In 54.29% cases the level of aortic bifurcation was found opposite 4th Lumbar vertebra, in the rest it was variable between L3 and L5 vertebra. Conclusions: These variations may lead to some trouble during vertebral surgeries, making it essential to investigate and locate the exact position of great vessels before the commencement of surgery.

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Prophylactic balloon occlusion of internal iliac arteries, common iliac arteries and infrarenal abdominal aorta in pregnancies complicated by placenta accreta: a retrospective cohort study

European Radiology ◽

10.1007/s00330-018-5527-7 ◽

2018 ◽

Vol 28 (12) ◽

pp. 4959-4967 ◽

Cited By ~ 13

Author(s):

Kui Li ◽

Yu Zou ◽

Jin Sun ◽

Hong Wen

Keyword(s):

Cohort Study ◽

Abdominal Aorta ◽

Retrospective Cohort ◽

Placenta Accreta ◽

Balloon Occlusion ◽

Iliac Arteries ◽

Internal Iliac ◽

Common Iliac Arteries ◽

Infrarenal Abdominal Aorta ◽

Internal Iliac Arteries

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Multiple Mycotic Aneurysms of the Abdominal Aorta Illustrated on MDCT Scanner

Journal of Clinical Imaging Science ◽

10.4103/2156-7514.163993 ◽

2015 ◽

Vol 5 ◽

pp. 49 ◽

Cited By ~ 2

Author(s):

Amit Nandan Dhar Dwivedi ◽

Ananthakrishnan Srinivasan ◽

Shivi Jain

Keyword(s):

Early Detection ◽

Abdominal Aorta ◽

Mycotic Aneurysm ◽

Abdominal Mass ◽

Young Male ◽

Aortic Aneurysms ◽

Rare Manifestation ◽

Life Threatening ◽

Mycotic Aneurysms ◽

Mdct Scanner

Infective mycotic aneurysm of the aorta is a rare and life-threatening disease. A patient presenting with constitutional symptoms and pulsatile abdominal mass should raise a suspicion of mycotic aneurysm. Early detection of aortic mycotic lesions in such patients should play a key role in the treatment of aortic aneurysms. Multiple mycotic aneurysms of abdominal aorta in a young male are a rare manifestation of the disease. Multidetector computerized tomography (CT) is an essential tool in identifying the etiology, pathogenesis, protean manifestations of systemic tuberculosis, and ultimately deciding the course of treatment.

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Iliac Arteries and Abdominal Aorta

MDCT Anatomy — Body ◽

10.1007/978-88-470-1878-5_13 ◽

2010 ◽

pp. 95-101

Author(s):

Stefania Daniele ◽

Paolo Iovine

Keyword(s):

Abdominal Aorta ◽

Iliac Arteries

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Ultrasound measurement of the luminal diameter of the abdominal aorta and iliac arteries in patients without vascular disease

Journal of Vascular Surgery ◽

10.1067/mva.1993.39525 ◽

1993 ◽

Vol 17 (3) ◽

pp. 596-601 ◽

Cited By ~ 3

Author(s):

Seshadri M. Raju ◽

Ole Martin Pedersen ◽

Aslak Martin Aslaksen

Keyword(s):

Vascular Disease ◽

Abdominal Aorta ◽

Ultrasound Measurement ◽

Luminal Diameter ◽

Iliac Arteries

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Retroperitoneal fibrosis

10.1093/med/9780199592548.003.0357 ◽

2015 ◽

Author(s):

Muhammad M. Yaqoob ◽

Katherine Bennett-Richards ◽

Islam Junaid

Keyword(s):

Abdominal Aorta ◽

Retroperitoneal Fibrosis ◽

Fibrous Tissue ◽

Histological Diagnosis ◽

Iliac Arteries ◽

Large Sample ◽

Regular Monitoring ◽

Ureteric Stents ◽

Secondary Causes ◽

Inflammatory Tissue

Retroperitoneal fibrosis (RPF) is a rare but multifaceted disease which encompasses a range of conditions characterized by the presence of a fibro-inflammatory tissue, which usually surrounds the abdominal aorta, iliac arteries, and extends into the retroperitoneum to entrap ureters with resultant unilateral or bilateral obstruction, usually at the junction between the middle and lower thirds of the ureter. The condition is progressive: initially, the fibrous tissue is fairly cellular, later becoming relatively acellular. The mechanism by which obstruction occurs is probably due to loss of peristalsis. A histological diagnosis should be obtained if at all possible, and laparotomy is required in order to obtain a sufficiently large sample to differentiate between idiopathic and secondary causes of RPF. Treatment of idiopathic RPF is by corticosteroids in the first instance with ureteric stents or ureterolysis initially and requires regular monitoring.

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