Imágenes en Medicina: fibrosis peritoneal / Medical images: retroperitoneal fibrosis
Rev. med. Rosario
;
84(3): 134-136, sept.-dic. 2018. ilus
Article
in Spanish
| LILACS
| ID: biblio-1051208
RESUMEN
Se reporta el caso de un paciente varón de 36 años con antecedente de litiasis renal que visita al urólogo por lumbalgia crónica y astenia. Se solicita laboratorio que arroja aumento de reactantes de fase aguda y leucocitosis. El diagnóstico por imagen comprende tomografía (TC) de abdomen y pelvis con contraste endovenoso (EV), TC tórax, ecografía testicular con doppler color y Resonancia Magnética de abdomen y pelvis con gadolinio EV. El servicio de diagnóstico por imágenes plantea la posibilidad de fibrosis retroperitoneal como primer diagnóstico diferencial. Se solicita biopsia de la lesiónpara su confirmación, que demuestra tejido fibrótico, confirmando el diagnóstico de fibrosis retroperitoneal, en este caso idiopática
ABSTRACT
The case of a 36-year-old male patient with a history of renal lithiasis who visits the urologist for chronic low back pain and asthenia is reported. Laboratory is requested to show an increase in acute phase reactants and leukocytosis. The imaging diagnosis includes tomography (CT) of the abdomen and pelvis with intravenous contrast, chest CT, testicular ultrasound with color doppler and Magnetic Resonance of the abdomen and pelvis with gadolinium. The diagnostic imaging service raises the possibility of retroperitoneal fibrosis as the first differential diagnosis. Biopsy of the lesion is requested for confirmation, which demonstrates fibrotic tissue, confirming the diagnosis of idiopathic retroperitoneal fibrosis, in this case
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Retroperitoneal Fibrosis
Type of study:
Diagnostic study
Limits:
Adult
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. med. Rosario
Journal subject:
Medicine
Year:
2018
Type:
Article
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