Roma : Luigi Pozzi, 2005- Bologna : Cappelli Licinio 1922-2005
Abstract
The autbors, O the basis of a retrospective analysis of a series
oJ 13 cases oJ chronic periaortitis, after a review of the
literature about the subject, discuss about the most recent
theories about pathogenesis, pathological anatomy, diagnosis
and treatment of this condition.
At first the authors stress the importance oJ adopting the term
chronic periaortitis to describe any idiopathic fibrotic
retroperitoneal process, as a consequence oJ the well established
relationship between the atherosclerotic abdominal aorta an
the development oJ this condition. Histological, immunehistochemical
and immunological studies, consented to clariJj
the pathogenesis o the lesion. CT or MRl currently makes
the diagnosis but histological confirmation is desiderable.
Surgical therapy plays still a fondamental role in the
management oJ. chronic periaortitis, but the use oJ
immunosuppressive d~ugs is to be considered extremely
promising