特发性腹膜后纤维化伴十二指肠梗阻经皮质类固醇成功治疗。

Idiopathic retroperitoneal fibrosis with duodenal obstruction successfully treated with corticosteroids.

作者信息

Yamada H, Komatsu R, Nagae H, Fujioka Y, Fujita M

机构信息

Division of Internal Medicine, Minami Seikyo Hospital, Nagoya.

出版信息

Intern Med. 1998 Jul;37(7):592-8. doi: 10.2169/internalmedicine.37.592.

DOI:10.2169/internalmedicine.37.592

PMID:9711885

Abstract

We report a case of idiopathic retroperitoneal fibrosis presenting with duodenal obstruction. A 55-year-old man suddenly developed severe epigastric pain and was admitted to our hospital. On abdominal computed tomography (CT), a large retroperitoneal mass was found. Hypotonic duodenography showed obstruction of the third portion of the duodenum. He was diagnosed as idiopathic retroperitoneal fibrosis and was treated with prednisolone. The patient improved dramatically. He has been well for twelve months without any further treatment.

摘要

我们报告一例表现为十二指肠梗阻的特发性腹膜后纤维化病例。一名55岁男性突然出现严重上腹部疼痛，被收治入院。腹部计算机断层扫描（CT）发现一个巨大的腹膜后肿块。低张十二指肠造影显示十二指肠第三部梗阻。他被诊断为特发性腹膜后纤维化，并接受泼尼松龙治疗。患者病情显著改善。未经进一步治疗，他已健康生活了十二个月。