Abstract
We report two cases of inflammatory abdominal aortic aneurysm (IAAA). Case 1: Computed tomography (CT) demonstrated an IAAA 54 mm in diameter and bilateral hydronephrosis. After insertion of ureteral stents, we planned open surgery but as severe adhesion was observed on the distal site of the aneurysm we chose to perform stent graft replacement rather than open surgery, which was successful. Case 2: A CT scan demonstrated an IAAA 70 mm in diameter. We successfully performed open surgery by dissecting the severe adhesion noted in the duodenum and aneurysmal wall. The appropriate treatment of an IAAA should be determined according to the location of the adhesion.