Idiopathic retroperitoneal fibrosis

Herein is described a case report of urinary tract obstruction due to idiopathic retroperitoneal fibrosis (IRF) in a 43-year-old man. Recent studies suggest that IRF fits into the broader pathologic heading of chronic periaortitis. Although there may be more than one pathophysiologic mechanism, grow...

Full description

Saved in:
Bibliographic Details
Published in:Journal of the American Society of Nephrology 1993-05, Vol.3 (11), p.1748-1752
Main Authors: Keith, D S, Larson, T S
Format: Article
Language:English
Subjects:
Adult
Humans
Male
Retroperitoneal Fibrosis - complications
Retroperitoneal Fibrosis - diagnostic imaging
Retroperitoneal Fibrosis - therapy
Tomography, X-Ray Computed
Ureteral Obstruction - diagnostic imaging
Ureteral Obstruction - etiology
Urography
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Herein is described a case report of urinary tract obstruction due to idiopathic retroperitoneal fibrosis (IRF) in a 43-year-old man. Recent studies suggest that IRF fits into the broader pathologic heading of chronic periaortitis. Although there may be more than one pathophysiologic mechanism, growing evidence suggests that many cases of IRF are due to an autoallergic reaction to lipid material in the atheromatous aorta. Computed tomographic scanning has supplanted excretory and retrograde urography in the diagnosis of this condition. Ureterolysis and steroids remain the mainstays in the treatment of IRF. Even after successful decompression of urinary obstruction, long-term follow-up is required in these patients because of the possibility of other complications such as vena caval or duodenal obstruction.
ISSN:1046-6673
DOI:10.1681/ASN.V3111748