Document Detail

Metastasis--an unusual cause of retroperitoneal fibrosis.
MedLine Citation:
PMID:  17444067     Owner:  NLM     Status:  MEDLINE    
Retroperitoneal fibrosis is one of the rare fibrotic processes mainly involving caudal aspect of the retroperitoneum. In up to 70% of patients no causative factor for retroperitoneal fibrosis can be identified, where it resembles auto-immune reaction. A 30-year-old lady presented with progressive oedema of the lower extremities, jaundice and abdominal swelling. Clinical examination revealed doughy abdominal feel and diffuse tenderness. Ultrasonography showed dilated intrahepatic bilary radicles and mild ascites. Contrast CT-scan showed enhancing sheath of soft tissue extending from porta down to aortic bifurcation encasing common bile duct, aorta, inferior vena cava and the ureters. CT-guided fine needle aspiration cytology revealed metastatic adenocarcinoma. Ascitic fluid did not show any malignant cell. No abdominal mass could be detected. The patient died during the course of palliative chemotherapy.
Anup Sadhu; Santanu Sen; S Seal; S K Sharma
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Indian Medical Association     Volume:  104     ISSN:  0019-5847     ISO Abbreviation:  J Indian Med Assoc     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2007-04-20     Completed Date:  2007-05-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505608     Medline TA:  J Indian Med Assoc     Country:  India    
Other Details:
Languages:  eng     Pagination:  642, 644     Citation Subset:  IM    
Eko CT and MRI Scan Centre, Medical College, Kolkata.
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MeSH Terms
Adenocarcinoma / pathology*
Fatal Outcome
Retroperitoneal Fibrosis / diagnosis*,  etiology
Retroperitoneal Neoplasms / pathology*
Retroperitoneal Space / pathology,  radiography
Tomography, X-Ray Computed

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