La fibrosis retroperitoneal es una entidad muy poco frecuente que habitualmente engloba la aorta abdominal y los uréteres. Dos tercios de las veces es de causa idiopática y en un tercio es secundaria a otros procesos como fármacos, infecciones o enfermedades sistémicas y tumores de los que se estima puede ser responsables del 8 al 10%. El más frecuente es el adenocarcinoma colorrectal, resultando anecdótica la localización gástrica con seis casos descritos hasta la fecha. Presentamos un caso de una paciente con cáncer gástrico y fibrosis retroperitoneal secundaria de difícil diagnóstico y manejo.Palabras clave: Fibrosis retroperitoneal. Síndrome de Ormond. Neoplasia gástrica. Cáncer, Estómago. Ureterohidronefrosis bilateral.
ABSTRACT FIBROSIS RETROPERITONEAL SECONDARY TO GASTRIC NEOPLASIAThe retroperitoneal fibrosis is a very little frequent pathology that habitually includes the abdominal aorta and ureters. Two thirds of cases the etiology is idiopathic and in a third it is secondary to other causes as drugs, generalized infections or diseases and tumors which are considered to be responsible from 8 to 10%. The most frequent is colorectal adenocarcinoma, being anecdotal the gastric location with six described cases to date. We present a case of a patient with gastric cancer and secondary retroperitoneal fibrosis of difficult diagnosis and handling.
La fibrosis retroperitoneal es una entidad muy poco frecuente que habitualmente engloba la aorta abdominal y los uréteres. Dos tercios de las veces es de causa idiopática y en un tercio es secundaria a otros procesos como fármacos, infecciones o enfermedades sistémicas y tumores de los que se estima puede ser responsables del 8 al 10%. El más frecuente es el adenocarcinoma colorrectal, resultando anecdótica la localización gástrica con seis casos descritos hasta la fecha. Presentamos un caso de una paciente con cáncer gástrico y fibrosis retroperitoneal secundaria de difícil diagnóstico y manejo.Palabras clave: Fibrosis retroperitoneal. Síndrome de Ormond. Neoplasia gástrica. Cáncer, Estómago. Ureterohidronefrosis bilateral.
ABSTRACT FIBROSIS RETROPERITONEAL SECONDARY TO GASTRIC NEOPLASIAThe retroperitoneal fibrosis is a very little frequent pathology that habitually includes the abdominal aorta and ureters. Two thirds of cases the etiology is idiopathic and in a third it is secondary to other causes as drugs, generalized infections or diseases and tumors which are considered to be responsible from 8 to 10%. The most frequent is colorectal adenocarcinoma, being anecdotal the gastric location with six described cases to date. We present a case of a patient with gastric cancer and secondary retroperitoneal fibrosis of difficult diagnosis and handling.
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