Retroperitoneal Fibrosis Leading to Extrahepatic Portal Vein Obstruction

Hiroyuki GATANAGA; Shin OHNISHI; Hideaki MIURA; Hiroto KITA; Nobuyuki MATSUHASHI; Tatsuhiko KODAMA; Manabu MINAMI; Takeshi OKUDAIRA; Michio IMAWARI; Yoshio YAZAKI

doi:10.2169/internalmedicine.33.346

Hiroyuki GATANAGA, Shin OHNISHI, Hideaki MIURA, Hiroto KITA, Nobuyuki MATSUHASHI, Tatsuhiko KODAMA, Manabu MINAMI, Takeshi OKUDAIRA, Michio IMAWARI, Yoshio YAZAKI

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Keywords: analgesics, computed tomography, magnetic resonance imaging

JOURNAL FREE ACCESS

1994 Volume 33 Issue 6 Pages 346-350

DOI https://doi.org/10.2169/internalmedicine.33.346

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Abstract

A very rare case of highly probable retroperitoneal fibrosis leading to extrahepatic portal obstruction is described. The patient was a 44-year-old woman with right pleural effusion and splenomegaly. Computed tomography indicated a large accumulation of soft tissues in the retroperitoneum, and abdominal angiography showed extensive portal obstruction. A twenty-year-long abuse of analgesics is suspected to have caused the retroperitoneal fibrosis.
(Internal Medicine 33: 346-350, 1994)

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