Retroperitoneal fibrosis in a patient with gastric cancer manifested by lower extremity edema and hydrocele.
Herein we report a 57-year-old man with lower extremity edema and swelling in the scrotum who was found to have a periaortic soft tissue mass and hydronephrosis by computed tomography. With the most plausible diagnosis of retroperitoneal fibrosis, corticosteroid therapy was initiated; however, it did not improve his symptoms. Upper gastroscopy performed on day 20 post admission showed ulcerative regions with an irregular border and fusion of thickened rugae at the gastric angle; the diagnosis of gastric adenocarcinoma was confirmed histologically. It is important to always be aware of unrecognized malignancies that are accompanied by retroperitoneal fibrosis.
Department of Cardiology, Osaka Medical College, Japan.
Ryo
R
Yokoyama
Ryunosuke
R
Tazaki
Hideaki
H
Morita
Hitoshi
H
Nishitani
Shinpei
S
Ariumi
Sho
S
Osuga
Koichi
K
Sohmiya
Tatsuji
T
Kono
Yoshifumi
Y
Narumi
Motomu
M
Tsuji
Nobukazu
N
Ishizaka
D000230:Adenocarcinoma / Q000150:complications* / Q000175:diagnosis; D003951:Diagnostic Errors; D004487:Edema / Q000209:etiology*; D005773:Gastroscopy; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000209:etiology; D007074:Immunoglobulin G / Q000097:blood; D035002:Lower Extremity / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012185:Retroperitoneal Fibrosis / Q000175:diagnosis* / Q000209:etiology*; D013274:Stomach Neoplasms / Q000150:complications* / Q000175:diagnosis; D006848:Testicular Hydrocele / Q000209:etiology*; D014057:Tomography, X-Ray Computed
D007074:Immunoglobulin G