[From retroperitoneal fibrosis to gastric linitis].
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.
Amrouche
L
L
Service de médecine interne, hôpital Saint-Louis, 75475 Paris cedex 10, France. luamrouche@hotmail.com
Gornet
J-M
JM
Lascoux
C
C
George
C
C
Florea
L
L
Farge
D
D
Séréni
D
D
Bourgarit
A
A
D058186:Acute Kidney Injury / Q000209:etiology; D000369:Aged, 80 and over; D017809:Fatal Outcome; D019788:Fluorodeoxyglucose F18; D006801:Humans; D008039:Linitis Plastica / Q000150:complications* / Q000175:diagnosis; D008297:Male; D010998:Pleurisy / Q000209:etiology; D019275:Radiopharmaceuticals; D012185:Retroperitoneal Fibrosis / Q000175:diagnosis / Q000209:etiology*; D012878:Skin Neoplasms / Q000150:complications* / Q000175:diagnosis; D013274:Stomach Neoplasms / Q000150:complications* / Q000175:diagnosis; D014055:Tomography, Emission-Computed
D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18