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Retroperitoneal fibrosis in a patient with gastric cancer manifested by lower extremity edema and hydrocele.
- Source :
-
Internal medicine (Tokyo, Japan) [Intern Med] 2012; Vol. 51 (16), pp. 2157-60. Date of Electronic Publication: 2012 Aug 15. - Publication Year :
- 2012
-
Abstract
- 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.
- Subjects :
- Adenocarcinoma diagnosis
Diagnostic Errors
Gastroscopy
Humans
Hydronephrosis diagnostic imaging
Hydronephrosis etiology
Immunoglobulin G blood
Lower Extremity pathology
Magnetic Resonance Imaging
Male
Middle Aged
Stomach Neoplasms diagnosis
Tomography, X-Ray Computed
Adenocarcinoma complications
Edema etiology
Retroperitoneal Fibrosis diagnosis
Retroperitoneal Fibrosis etiology
Stomach Neoplasms complications
Testicular Hydrocele etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1349-7235
- Volume :
- 51
- Issue :
- 16
- Database :
- MEDLINE
- Journal :
- Internal medicine (Tokyo, Japan)
- Publication Type :
- Academic Journal
- Accession number :
- 22892495
- Full Text :
- https://doi.org/10.2169/internalmedicine.51.7660