J Korean Soc Radiol.  2019 May;80(3):537-542. 10.3348/jksr.2019.80.3.537.

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

Affiliations
  • 1Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. gshong@amc.seoul.kr
  • 2Department of Radiology, Cheju Halla General Hospital, Jeju, Korea.

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.


MeSH Terms

Aorta*
Aortic Diseases
Chest Pain
Diagnosis
Diagnosis, Differential
Emergency Service, Hospital
Granulomatosis with Polyangiitis
Hematoma
Hospital Mortality
Immunoglobulins
Lymphoma
Tomography, Spiral Computed
Vasculitis
Immunoglobulins
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