Linfoma periaórtico tóraco-abdominal, que simula un síndrome aórtico agudo y revisión de la literatura

• Pablo Young ^[1] ; Martín E Wallberg ^[1] ; Fernando Villarejo ^[2] ; Ana M Escobar ^[1] ; Adriana García ^[1] ; Julio E Bruetman ^[1] ; Bárbara C Finn ^[1]
  1. [1] Hospital Británico de Buenos Aires

     Hospital Británico de Buenos Aires

     Argentina

     
  2. [2] Clínica Olivos Unidad de Terapia Intensiva
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 137, Nº. 3, 2009, págs. 390-393
• Idioma: español
• Títulos paralelos:
  • Thoracoabdominal periaortic lymphoma mimicking acule aortic syndrome. Report of one case
• Enlaces
  • Texto completo
• Resumen

  • Systemic lymphoma that involves the aorta is called periaortic lymphoma, and may be misdiagnosed clinically or in CT sean, mimicking a thoracic aortic aneurysm, dissection, penetrating ulcer or an intramural hematoma. We report a 70 year-old woman in whom a systemic non-Hodgkin 's lymphoma ivas diagnosed after she presented with the clinical features of an acute aortic syndrome. A CT sean showed the presence of a large thoracoabdominal periaortic soft tissue mass without aneurism or dissection. Later, a biopsy of the mass ivasperformed which showed a non-Hodgkin's lymphoma. Chemotherapy with CHOP-R was effective, with complete initial resolution of the mass, developing in the follow up chylothorax, malnutrition and death.