Carnicer Jáuregui F, Casellas Valde J A, Palazón Azorín J M, de Juan Burgeño F, Gómez Andrés A
Servicio de Medicina Interna, Hospital de Alicante.
An Med Interna. 1991 Jan;8(1):33-6.
The case of a 35 year old female who had paraneoplasic syndrome during a period of one year, together with abdominal pain, is presented. Owing to the aforementioned, she was operated under the suspicion of lymphoma. The intraoperatory diagnosis was of retroperitoneal fibrosis. Physical examination showed important ascites and cachexia. Mild anemia and high sedimentation rate were found in blood test. A barium intestinal X-ray showed loop distention and a CT scan showed ascites and mesenteric thickening which were confirmed by a laparotomy. The histological study showed substantial cholagen and inflammatory infiltrate, together with giant cells of foreign body type. The different clinical presentations were reviewed as well as diagnoses, treatments, and the evolution of the disease.
本文介绍了一位35岁女性的病例，该患者在一年时间里出现了副肿瘤综合征，并伴有腹痛。由于上述情况，她在疑似淋巴瘤的情况下接受了手术。术中诊断为腹膜后纤维化。体格检查发现有大量腹水和恶病质。血液检查发现轻度贫血和血沉加快。钡剂肠道X线检查显示肠袢扩张，CT扫描显示有腹水和肠系膜增厚，剖腹手术证实了这些结果。组织学研究显示有大量胶原和炎症浸润，以及异物型巨细胞。文中还回顾了不同的临床表现、诊断、治疗及疾病的进展情况。
