Peri aortitis

Question 1

what is peri aortitis ?

Answer 1

inflammatory condition which typically involves the infrarenal portion of the abdominal aorta

Question 2

state some causes of peri aortitis ?

Answer 2

idiopathic retroperitoneal fibrosis

inflammatory AAA

Question 3

what is idiopathic retroperitoneal fibrosis ?

Answer 3

autoimmune vasculitis resulting in fibrinoid necrosis of the small/medium retroperitoneal vessels

Question 4

what is peri aortitis associated with?

Answer 4

Drugs: β-B, bromocriptine, methysergide, methyldopa

AI disease: thyroiditis, SLE, ANCA+ vasculitis

Smoking

Asbestos

Question 5

what is the presentation of peri aortitis?

Answer 5

Middle–aged male
 Vague loin, back or abdo pain
 ↑ BP
 Chronic urinary tract obstruction

Question 6

waht investigations should be done for peri aortitis ?

Answer 6

 Blood: ↑U and Cr, ↑ESR/CRP, ↓Hb
 US: bilateral hydronephrosis + medial ureteric deviation
 CT/MRI: peri-aortic mass
 Biopsy: exclude Ca

Question 7

is peri aortitis common?

Answer 7

no very rare

Question 8

what is the management for peri aortitis ?

Answer 8

retrograde stent placement