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De la fibrose rétropéritonéale à la linite gastrique

De la fibrose rétropéritonéale à la linite gastrique,10.1016/j.revmed.2008.08.023,Revue De Medecine Interne,L. Amrouche,J.-M. Gornet,C. Lascoux,C. Geo

De la fibrose rétropéritonéale à la linite gastrique  
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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-oesophagal lymph node and the 18FDG-PET-scan an hypermetabolism lesion of the oesophagus. Gastroscopy and colonoscopy found a gastric linitis, already multimetastatic at diagnosis. The gastric linitis can present with many decepting clinical forms, increasing the risk of delayed diagnosis.
Journal: Revue De Medecine Interne - REV MED INTERNE , vol. 30, no. 5, pp. 443-445, 2009
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