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A Rare Case of Granulomatosis with Polyangiitis-Related Periaortitis at the Ascending Aorta

대한영상의학회지 2019년 80권 3호 p.537 ~ 542
 ( Hong Sang-Hyup ) - University of Ulsan College of Medicine Asan Medical Center Department of Radiology

 ( Hong Gil-Sun ) - University of Ulsan College of Medicine Asan Medical Center Department of Radiology
 ( Lee Choong-Wook ) - University of Ulsan College of Medicine Asan Medical Center Department of Radiology
 ( 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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