[Thoracoabdominal periaortic lymphoma mimicking acute aortic syndrome. Report of one case].
Systemic lymphoma that involves the aorta is called periaortic lymphoma, and may be misdiagnosed clinically or in CT sean, mimicking a thoracic aortic aneurysm, dissection, penetrating ulcer or an intramural hematoma. We report a 70 year-old woman in whom a systemic non-Hodgkin 's lymphoma ivas diagnosed after she presented with the clinical features of an acute aortic syndrome. A CT sean showed the presence of a large thoracoabdominal periaortic soft tissue mass without aneurism or dissection. Later, a biopsy of the mass ivasperformed which showed a non-Hodgkin's lymphoma. Chemotherapy with CHOP-R was effective, with complete initial resolution of the mass, developing in the follow up chylothorax, malnutrition and death.
Young
Pablo
P
Clínica Médica, Hospital Británico de Buenos Aires, Argentina. pabloyoung2003@yahoo.com.ar
Wallberg
Martín E
ME
Villarejo
Fernando
F
Escobar
Ana M
AM
García
Adriana
A
Bruetman
Julio E
JE
Finn
Bárbara C
BC
D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis*; D001018:Aortic Diseases / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed