An Elderly Case of Idiopathic Retroperitoneal Fibrosis
| Autor: | Keiji Murakami, Masanori Simajiri, Michio Shimabukuro, Yasuhiko Nakada, Yuzo Koyama, Akira Osawa, Koichi Oshiro, Fumio Nagamine, Goro Mimura |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Male
medicine.medical_specialty medicine.diagnostic_test business.industry Retroperitoneal Fibrosis Magnetic resonance imaging Ureterolysis Acute Kidney Injury Retroperitoneal fibrosis Magnetic Resonance Imaging Surgery medicine.anatomical_structure Abdominal ultrasonography Biopsy medicine Humans Retroperitoneal space Abdomen Radiology Geriatrics and Gerontology medicine.symptom Tomography X-Ray Computed Idiopathic Retroperitoneal Fibrosis business Aged |
| Zdroj: | Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics. 28:811-816 |
| ISSN: | 0300-9173 |
| DOI: | 10.3143/geriatrics.28.811 |
| Popis: | An elderly case of idiopathic retroperitoneal fibrosis (IRPF) with bilateral ureteral obstruction was reported. A 74-year-old man was admitted with complaints of general fatigue and loss of appetite. An elastic hard mass with a smooth surface was palpated in the left upper quadrant of the abdomen. Abnormal ESR and CRP were noticed. Abdominal ultrasonography showed both a homoechoic mass which surrounded the aorta in the retroperitoneal space and bilateral hydronephrosis. Computed tomography revealed a retroperitoneal mass involving bilateral ureters. Magnetic resonance imaging demonstrated a mass with a sharp image and signal intensity. Furthermore the morphological relationship between the mass and the ureters and major vessels clearly indicated the characteristics of benign retroperitoneal fibrosis. Based upon the above findings, a diagnosis of IRPF was made. After confirming the histological diagnosis by biopsy, treatment consisting of bilateral ureterolysis, intra-abdominal transposition of ureters and oral administration of prednisolone was performed, resulting in a normalization of laboratory findings. Analysis of 86 previously cases of IRPF reported up to 1990 in Japan, revealed the peak age to be in the 7th decade with predominance in males (males: females = 57:29). |
| Databáze: | OpenAIRE |
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