Inflammatory aneurysms of the abdominal aorta

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  • D I Walker
    Departments of Surgery and Pathology, University of Manchester
  • K Bloor
    Departments of Surgery and Pathology, University of Manchester
  • G Williams
    Departments of Surgery and Pathology, University of Manchester
  • I Gillie
    Departments of Surgery and Pathology, University of Manchester

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<jats:title>Abstract</jats:title> <jats:p>Two hundred and seventeen patients presenting with abdominal aneurysms in the Department of Surgery at the Manchester Royal Infirmary between the years 1958–69 were surveyed retrospectively.</jats:p> <jats:p>One hundred and eighty-seven of the patients underwent operation for resection of their aneurysms; of these, 19 (10 per cent) showed excessive thickening of the aneurysm walls and perianeurysmal adhesions at operation.</jats:p> <jats:p>Subsequent histological examination of the walls of these unusual aaneurysms showed extensive active chronic inflammatory changes, including plasma-cell infiltration.</jats:p> <jats:p>This group of patients whose aneurysms we describe as ‘inflammatory’ presented with different clinical features in comparison with the atherosclerotic group.</jats:p> <jats:p>Retrospective investigation has not yet revealed any aetiological factors. We feel that ‘inflammatory’ aneurysms are a discrete entity with significant differences from atherosclerotic aneurysms and previously described arteritis.</jats:p>

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