Portal de Periódicos da CAPES

De la fibrose rétropéritonéale à la linite gastrique

2009; Elsevier BV; Volume: 30; Issue: 5 Linguagem: Inglês

10.1016/j.revmed.2008.08.023

1768-3122

Lucile Amrouche, J.M. Gornet, C. Lascoux, Christopher H. George, Laura Florea, Dominique Farge, D. Séréni, A. Bourgarit,

Eosinophilic Disorders and Syndromes

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.