Case Report
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Periaortitli Hastada Retroperitoneal ve Mediastinal Fibrozis Birlikteliği: Olgu Sunusu

Year 2017, Volume: 14 Issue: 1, 75 - 80, 28.04.2017

Abstract

Kronik periaortit daha sık orta yaş erkekleri etkilemekte ve nadir olarak görülmektedir. Patofizyolojisinde
otoimmünitenin etkili olduğu ve idiopatik retroperitoneal fibrozis, perianevrizmal fibrozis, enflamatuar
abdominal aort anevrizması ile ilişkili olduğu ileri sürülmektedir. Retroperitoneal fibrozis olgularının büyük
kısmı idiopatiktir. Mediastinal fibrozis ise sıklıkla enfeksiyoz süreçle ilişkilidir. Bu iki patolojik tablonun
birlikteliği ise oldukça nadirdir. Biz bu çalışmamızda periaortiti olan bir hastamızda eşlik eden
retroperitoneal ve mediastinal fibrozis birlikteliğini sunmayı amaçladık 

References

  • 1) Comings DE, Skubi KB, Van Eyes J, Motulsky AG. Familial multifocal fibrosclerosis: findings suggesting that retroperitoneal fibrosis, mediastinal fibrosis, sclerosing cholangitis, Riedel's thyroritis, and pseudotumor of the orbit may be different manifestations of a single disease. Ann Intern Med 1967; 166 (5): 884-92. 2) Labidi J, Ariba YB, Chargui S, Bousetta N, Louzir B, Othmani S. Retroperitoneal fibrosis: A retrospective review of clinical presentation, treatment and outcomes. Saudi J Kidney Dis Transpl 2015;26 (4):816-22. 3) Kato T, Minamino E, Nakane E, Miyamoto S,Izumi T, Haruna T, Nohara R, Inoko M. The differential diagnosis of two cases of chronic periaortitis. Case report Radiol. 2013;2013:282067. 4) Vaglio A, Buzio C. Chronic periaortitis: a spectrum of diseases. Curr Opin Rheumatol 2005;17(1):34-40. 5) Zeina AR, Gleb S, Naschitz JE, Loberman Z, Barmeir E. Isolated periaortitis: clinical and imaging characteristics. Vasc Healt Risk Manag 2007;3:1083-6. 6) Vaglio A, Coraddi D, Manenti L et al. Evidence of autoimmunity in chronic periaortitis: a prospective study. Am J Med 2003;114(6):454-62 7) Gilkeson GS, Allen NB: Retroperitoneal fibrosis: a true connective tissue disease. Rheum Dis Clin North Am 1996;22(1): 23-38 8) Light AM. Idiopathic fibrosis of mediastinum: a discussion of three cases and review of the literature. J Clin Pathol 1978;31(1):78-79 9) Cadenas Menendez S, Escudero Bueno C, Gonzalez Budino T. Chylothorax associated with idiopathic mediastinal and retroperitoneal fibrosis. Arch Bronconeumol 2009;45(10):527-8. 10) Cronin CG, Lohan DG, Blake MA, Roche C, McCarthy P, Murphy JM. Retroperitoneal fibrosis: a review of clinical features and imaging findings. AJR Am J Roentgenol 2008;191(2):423-31. 11) Elinav H, Hershko A, Leibovitch G, Naparstek Y. Retroperitoneal fibrosisclinical response to steroid treatment. Harefuah 2003;142(3):166-9

Comorbid Retroperitoneal and Mediastinal Fibrosis in a Case of Periaortitis

Year 2017, Volume: 14 Issue: 1, 75 - 80, 28.04.2017

Abstract

Chronic periaortitis is a rare condition. Middle-aged males comprise a large proportion of patients. An
association has been proposed with idiopathic retroperitoneal fibrosis, perianeurysmal fibrosis and
inflammatory abdominal aortic aneurysm, and autoimmunity has been implicated in the pathophysiology.
Comorbidity of retroperitoneal fibrosis, which is frequently idiopathic, and mediastinal fibrosis, which is
particularly associated with infectious processes, is rare. The purpose of this study was to report a case
of comorbid retroperitoneal and mediastinal fibrosis in a patient with periaortitis, together with imaging
findings

References

  • 1) Comings DE, Skubi KB, Van Eyes J, Motulsky AG. Familial multifocal fibrosclerosis: findings suggesting that retroperitoneal fibrosis, mediastinal fibrosis, sclerosing cholangitis, Riedel's thyroritis, and pseudotumor of the orbit may be different manifestations of a single disease. Ann Intern Med 1967; 166 (5): 884-92. 2) Labidi J, Ariba YB, Chargui S, Bousetta N, Louzir B, Othmani S. Retroperitoneal fibrosis: A retrospective review of clinical presentation, treatment and outcomes. Saudi J Kidney Dis Transpl 2015;26 (4):816-22. 3) Kato T, Minamino E, Nakane E, Miyamoto S,Izumi T, Haruna T, Nohara R, Inoko M. The differential diagnosis of two cases of chronic periaortitis. Case report Radiol. 2013;2013:282067. 4) Vaglio A, Buzio C. Chronic periaortitis: a spectrum of diseases. Curr Opin Rheumatol 2005;17(1):34-40. 5) Zeina AR, Gleb S, Naschitz JE, Loberman Z, Barmeir E. Isolated periaortitis: clinical and imaging characteristics. Vasc Healt Risk Manag 2007;3:1083-6. 6) Vaglio A, Coraddi D, Manenti L et al. Evidence of autoimmunity in chronic periaortitis: a prospective study. Am J Med 2003;114(6):454-62 7) Gilkeson GS, Allen NB: Retroperitoneal fibrosis: a true connective tissue disease. Rheum Dis Clin North Am 1996;22(1): 23-38 8) Light AM. Idiopathic fibrosis of mediastinum: a discussion of three cases and review of the literature. J Clin Pathol 1978;31(1):78-79 9) Cadenas Menendez S, Escudero Bueno C, Gonzalez Budino T. Chylothorax associated with idiopathic mediastinal and retroperitoneal fibrosis. Arch Bronconeumol 2009;45(10):527-8. 10) Cronin CG, Lohan DG, Blake MA, Roche C, McCarthy P, Murphy JM. Retroperitoneal fibrosis: a review of clinical features and imaging findings. AJR Am J Roentgenol 2008;191(2):423-31. 11) Elinav H, Hershko A, Leibovitch G, Naparstek Y. Retroperitoneal fibrosisclinical response to steroid treatment. Harefuah 2003;142(3):166-9
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Details

Primary Language English
Journal Section Case Report
Authors

Mustafa Reşorlu

Canan Akgün Toprak This is me

Muhsin Özgün Öztürk

Publication Date April 28, 2017
Submission Date December 19, 2016
Published in Issue Year 2017 Volume: 14 Issue: 1

Cite

Vancouver Reşorlu M, Akgün Toprak C, Öztürk MÖ. Comorbid Retroperitoneal and Mediastinal Fibrosis in a Case of Periaortitis. Harran Üniversitesi Tıp Fakültesi Dergisi. 2017;14(1):75-80.

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty