Idiopathic Retroperitoneal Fibrosis Presenting as Low Back Pain.

Autor: Sharma S; Internal Medicine, St. Barnabas Hospital Health System, Bronx, USA., Paniagua-Morales JA; Internal Medicine, St. Barnabas Hospital Health System, Bronx, USA., Cordoba GG; Internal Medicine, St. Barnabas Hospital Health System, Bronx, USA., Then EO; Internal Medicine, St. Barnabas Hospital Health System, Bronx, USA., Sharma S; Internal Medicine, Mahatma Gandhi Mission Institute of Health Sciences, Navi Mumbai, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2019 Feb 14; Vol. 11 (2), pp. e4075. Date of Electronic Publication: 2019 Feb 14.
DOI: 10.7759/cureus.4075
Abstrakt: Retroperitoneal fibrosis is a rare condition characterized by the presence of fibrous inflammatory tissue in the retroperitoneal structures, such as the infrarenal great vessels and ureters. We are reporting an atypical case of an alcoholic who presented with chronic back pain and abnormal liver function tests. Abdominal imaging revealed an incidental, ill-defined, abnormal soft tissue mass in the left pelvis and mild to moderate left hydroureteronephrosis. Interventional radiology (IR)-guided core biopsy reported cores of dense fibrous tissue with extensive lymphoplasmacytic infiltrates, consistent with idiopathic retroperitoneal fibrosis (IRF). The patient had a left ureteral stent placed and, subsequently, had robotic surgery for ureteral reimplantation.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE