During a five-year period, seven out of 85 patients undergoing surgery
for abdominal aortic aneurysm, were identified as having the inflamma
tory variant. The clinical data, management and follow-up are reported
. Computed tomography is the preferred examination for the disclosure
of the nature of the aneurysm. Aneurysmectomy with graft replacement i
s advocated as the treatment of choice and requires a specific techniq
ue. Inflammatory abdominal aortic aneurysms are a clinical distinct en
tity but are considered as being a variant of the atherosclerotic abdo
minal aneurysm. The etiology has as yet not been clarified, even thoug
h various theories have been proposed.