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Rev Med Interne. 2009 May;30(5):443-5. doi: 10.1016/j.revmed.2008.08.023. Epub 2009 Mar 9.

[From retroperitoneal fibrosis to gastric linitis].

[Article in French]

Author information

  • 1Service de médecine interne, hôpital Saint-Louis, 75475 Paris cedex 10, France. luamrouche@hotmail.com

Abstract

Retroperitoneal fibrosis may reveal many diseases, including neoplasias. An 83-year-old man presented with an acute renal failure due to compressive retroperitoneal fibrosis. Clinically the only abnormal feature was a cutaneous subclavicular infiltrated lesion and laboratory features included hypereosinophilia, anemia and elevated acute phase reactants. A thoracic CT-scan showed pleuritis and para-esophageal lymph node and the 18FDG-PET-scan an hypermetabolism lesion of the oesophagus. Gastroscopy and colonoscopy found a gastric linitis, already multi-metastatic at diagnosis. The gastric linitis can present with many decepting clinical forms, increasing the risk of delayed diagnosis.

PMID:
19269719
[PubMed - indexed for MEDLINE]
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