A rare case of idiopathic retroperitoneal fibrosis involving obstruction of the mesenteric arteries, duodenum, common bile duct, and inferior vena cava
スポンサーリンク
概要
- 論文の詳細を見る
Idiopathic retroperitoneal fibrosis (IRF), usually affects the ureter, although the biliary tree, duodenum and vasculature may also be susceptible. This case report describes a 64-year-old man with IRF, who presented painless watery diarrhea, radiological features of obstructive jaundice and duodenal obstruction, and ultimately an obstruction of the inferior vena cava. We employed tamoxifen for his treatment, but the disease progressed and the patient died of multiple organ failure two years after the onset. While the cause of IRF in this patient was obscure, we suspected his painless watery diarrhea indicated chronic ischemia of the small bowel, and the findings of an abdominal CT scan were extremely valuable in indicating IRF.(Internal Medicine 42: 812-817, 2003)
- Japanese Society of Internal Medicineの論文
- 2003-09-01
著者
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ONISHI Saburo
Department of Gastroenterology and Hepatology, Kochi Medical School
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Tamura Satoru
Division Of Gastroenterology Tamura Clinic
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Tamura Satoru
Department Of Endoscopy Kochi Medical School
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YOKOYAMA Yuichi
First Department of Internal Medicine, Kochi Medical School
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MORITA Tomoko
First Department of Internal Medicine, Kochi Medical School
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Yokoyama Yuichi
Department Of Gastroenterology And Hepatology Kochi Medical School
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Yokoyama Yuichi
First Department Of Internal Medicine Kochi Medical School
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Onishi S
Department Of Gastroenterology And Hepatology Kochi Medical School
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Onishi Saburo
Department Of Gastroenterology And Hepatology Kochi Medical School
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Nakajo Kazuo
Department Of Gastroenterology And Hepatology Kochi Medical School
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Matsuoka Takanori
Department Of Gastroenterology And Hepatology Kochi Medical School
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NAKAJO Kazuo
First Department of Internal Medicine, Kochi Medical School
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WADA Kayoko
First Department of Internal Medicine, Kochi Medical School
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Wada Kayoko
First Department Of Internal Medicine Kochi Medical School
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Tamura Satoru
Department of Applied Physics and Chemistry, The University of Electro-Communications, 1-5-1 Chofugaoka, Chofu, Tokyo 182-8585, Japan
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