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Spontaneous Regression Of The Abdominal Aortic Aneurysm In A Middle Age Female Patient

Engin, M. 2020Other/Unknown

Engin, M., Güvenç, O., & Goncu, M. T. (2020). Spontaneous regression of the abdominal aortic aneurysm in a middle age female patient. Vascular, 28(4), 481–484. https://doi.org/10.1177/1708538120913707

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Abstract

INTRODUCTION: Abdominal aortic aneurysm is an important cardiovascular disease affecting especially the elderly. Early diagnosis of this disease is particularly important for treatment success. Spontaneous regression of aneurysms has rarely been reported in the literature. METHODS: A 63-year-old female patient was admitted to the internal medicine outpatient clinic with abdominal pain three years ago. A urinary ultrasonography was requested, which revealed no urinary pathology, but an abdominal aortic aneurysm of 5 cm. There were no pathological findings in routine blood tests and physical examination of the patient. Contrast-enhanced computed tomographic angiography showed an infrarenal Abdominal aortic aneurysm of approximately 4.30 × 3.24 cm. Three years later, the patient had come to the hospital for check-up with no complaints. In control computed tomographic angiography, the aneurysm was found to have regressed almost completely (2 × 2.15 cm). RESULTS AND CONCLUSION: In this case report, to the best of our knowledge, we aimed to share the first spontaneous regression of an abdominal aortic aneurysm in a patient without any systemic disease or use of immunosuppressive medication.

Case Details

Disease Location

Aorta abdominalis

Personal Characteristics

63-year-old female, history of total thyroidectomy

Clinical Characteristics

Admitted with abdominal pain. An urinary ultrasonography revealed no urinary pathology, but an abdominal aortic aneurysm (aaa) of 5cm. Contrast-enhanced computed tomographic angiography (cta) showed an infrarenal aaa of approximately 4.30x3.24 cm

Remission Characteristics

Three years later in control cta, the aneurysm was found to have regressed almost completely (2x2.15cm)

Treatment & Mechanisms

Proposed Remission Mechanisms

This may be caused by spontaneous development of adventitious hemorrhage around the aorta and its regression over time

Clinical Treatment

None reported

Non-Clinical Treatment

None reported