Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Retroperitoneal Fibrosis in a Patient with Gastric Cancer Manifested by Lower Extremity Edema and Hydrocele
Ryo YokoyamaRyunosuke TazakiHideaki MoritaHitoshi NishitaniShinpei AriumiSho OsugaKoichi SohmiyaTatsuji KonoYoshifumi NarumiMotomu TsujiNobukazu Ishizaka
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JOURNAL OPEN ACCESS

2012 Volume 51 Issue 16 Pages 2157-2160

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Abstract

Herein we report a 57-year-old man with lower extremity edema and swelling in the scrotum who was found to have a periaortic soft tissue mass and hydronephrosis by computed tomography. With the most plausible diagnosis of retroperitoneal fibrosis, corticosteroid therapy was initiated; however, it did not improve his symptoms. Upper gastroscopy performed on day 20 post admission showed ulcerative regions with an irregular border and fusion of thickened rugae at the gastric angle; the diagnosis of gastric adenocarcinoma was confirmed histologically. It is important to always be aware of unrecognized malignancies that are accompanied by retroperitoneal fibrosis.

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© 2012 by The Japanese Society of Internal Medicine
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