Linfoma Periaórtico Tóraco-abdominal, que simula un síndrome aórtico agudo, y revisión de la literatura

Autores/as

  • Pablo Young Clínica Médica, Hospital Británico de Buenos Aires
  • Martin E. Wallberg Clínica Médica, Hospital Británico de Buenos Aires. Unidad de Terapia Intensiva, Clínica Olivos, Argentina
  • Fernando Villarejo Unidad de Terapia Intensiva, Clínica Olivos, Argentina
  • Ana M. Escobar Cardiología, Hospital Británico de Buenos Aires
  • Adriana Garcia Radiología, Hospital Británico de Buenos Aires
  • Julio E. Bruetman Clínica Médica, Hospital Británico de Buenos Aires
  • Bárbara C. Finn Clínica Médica, Hospital Británico de Buenos Aires

Resumen

We report the case of a 70-year-old woman in whom a systemic non-Hodgkin’s lymphoma was diagnosed late after she presented with the clinical features of an acute aortic syndrome. A CT scans showed the presence of a large thoracoabdominal periaortic soft tissue mass without aneurism or dissection. Later a biopsy of the mass was performed which showed a non-Hodgkin’s lymphoma. Chemotherapy with CHOP-R was effective, with complete initial resolution of the mass, developping in the follow up chylothorax, malnutrition and death. The systemic lymphoma that compromises the aorta it is called periaortic lymphoma, and may be misinterpreted clinically or in CT scan mimicking a thoracic aortic aneurysm, dissection, penetrating ulcer or an intramural haematoma. In some cases both situations may coexist, in others the lymphoma it is the underlying cause. To our knowledge, only 42 cases (including ours) of periaortic lymphoma have been reported in literature. Unusual morphology on CT scans and MR images, such as a skip area or unusual circumferential encasement of the aorta, as in this case, should suggest a neoplasm.

Biografía del autor/a

Pablo Young, Clínica Médica, Hospital Británico de Buenos Aires

Clínica Médica

Hospital Británico de Buenos Aires

Hospital Británico. Perdriel 74 (1280) Buenos Aires, Argentina. Tel 5411 43096400 Fax 5411 43043393

Publicado

2009-06-05

Cómo citar

Young, P., Wallberg, M. E., Villarejo, F., Escobar, A. M., Garcia, A., Bruetman, J. E., & Finn, B. C. (2009). Linfoma Periaórtico Tóraco-abdominal, que simula un síndrome aórtico agudo, y revisión de la literatura. Revista Médica De Chile, 137(3). Recuperado a partir de https://revistamedicadechile.cl/index.php/rmedica/article/view/285

Número

Sección

Reporte de Caso Clínico

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