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Fibrosis retroperitoneal y hidronefrosis bilateral secundarias al cáncer gástrico: un informe de caso
Jiwon Kim1, Moon Hyung Lee1,2, Su Bee Park1,2
1Department of Medicine, Graduate School, Kyung Hee University, Seoul, Republic of Korea.
Medicine
|August 27, 2025
Resumen
La fibrosis retroperitoneal (FRP) puede ser causada raramente por cáncer gástrico. Este caso pone de relieve la importancia de sospechar malignidad oculta en pacientes con obstrucción ureteral inexplicable y problemas renales.
Área de la Ciencia:
- Nefrología
- Gastroenterología
- En el campo de la oncología
Sus antecedentes:
- La fibrosis retroperitoneal (FPR) es una enfermedad fibroinflamatoria poco frecuente.
- Aunque a menudo es idiopático, el RPF puede ser secundario a los tumores malignos.
- El RPF como manifestación del cáncer gástrico es excepcionalmente raro.
Objetivo del estudio:
- Para reportar un caso extremadamente raro de RPF secundario al cáncer gástrico.
- Hacer hincapié en la importancia de considerar la malignidad en el RPF de etiología incierta.
Principales métodos:
- Una mujer de 56 años presentó síntomas de lesión renal aguda e hidronefrosis bilateral.
- El diagnóstico incluyó tomografía computarizada, esofagogastroduodenoscopia y examen histopatológico de tejidos gástricos y retroperitoneos.
- El paciente se sometió a una gastrectomía subtotal y una nefrostomía percutánea.
Principales resultados:
- El adenocarcinoma gástrico fue confirmado como la causa de la RPF.
- La nefrostomía percutánea condujo a la normalización de la producción de orina y la función renal.
- La infección de la paciente se resolvió, y fue dada de alta en condición estable para quimioterapia adyuvante.
Conclusiones:
- El cáncer gástrico puede presentarse con RPF asociado a la malignidad.
- Un alto índice de sospecha de malignidad oculta es crucial en los casos de obstrucción uretral bilateral.
- La imagen rápida y la evaluación histológica son vitales para el diagnóstico y el tratamiento.
Palabras clave:
Hidronefrosis bilateralInforme de casoCáncer gástricoFibrosis asociada con tumores malignosFibrosis del retroperitoneoObstrucción uretralMás Videos Relacionados
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