Idiopathic retroperitoneal fibrosis causing unilateral ureteral and sigmoid colon obstruction

Yan, Ting; Wang, Yujuan; Liu, Zhijun; Zhang, Xiaolei; Wu, Qian; Xi, Mingrong

doi:10.1097/md.0000000000006105

Cited by 5 publications

(4 citation statements)

References 15 publications

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“…Obstructive retroperitoneal fibrosis has been described affecting retroperitoneal structures like the testicular vessels, ureters, and major blood vessels. 22,23 In the case of LBOs, retroperitoneal fibrosis can affect colonic anastomosis and segments where adenocarcinoma is present. Work-up must include a CT scan and attempts should be made to rule out malignancy before determining retroperitoneal fibrosis as the cause of LBO.…”

Section: Extrinsic Compressionmentioning

confidence: 99%

Large Bowel Obstruction

Johnson

Hawkins

2021

Clin Colon Rectal Surg

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Nearly one-quarter of bowel obstructions occur in the large bowel. As with all bowel obstructions, large bowel obstructions have three defining characteristics: partial or complete, intrinsic or extrinsic, benign or malignant. The work-up for a large bowel obstruction should focus on the etiology of the obstruction as well as severity. Management strategy is contingent on the previous characteristics and can include endoscopy, diversion, or resection. This chapter will discuss common and rare etiologies of large bowel obstructions as well as management strategies for clinical guidance.

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Section: Extrinsic Compressionmentioning

confidence: 99%

Large Bowel Obstruction

Johnson

Hawkins

2021

Clin Colon Rectal Surg

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“…CRP is used to monitor disease progression and course. 5 Ultrasound is the first imaging modality to be used due to its low cost and reliability. RF shows periaortic hypoechoic or iso-echoic mass like lesion.…”

Section: Discussionmentioning

confidence: 99%

An atypical manifestation of idiopathic retroperitoneal fibrosis: A case report

2020

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A 58-year-old male patient, previously healthy, presented with right flank pain of few hours duration. Initial workup showed an elevated creatinine and right hydroureteronephrosis. Computed tomography imaging revealed a retroperitoneal soft tissue mass encasing the right common iliac artery which is a first reported case in its anatomical distribution. Patient was referred to interventional radiology service where a percutaneous nephrostomy tube was placed followed by double J stenting. Subsequently, treatment with steroids was started. Follow up imaging a few months later revealed progressive resolution of the inflammatory process.

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“…First described in 1905 by Albarran [ 3 ], it causes entrapment with consequent obstruction of tubular retroperitoneal structures, notably the ureters. It presents in a myriad of non-specific ways; thus, a high level of suspicion is required to arrive at a definitive diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Bilateral Ureteric Obstruction Due to Retroperitoneal Fibrosis: A Case Report

Okpii¹,

Okpii²,

Adamu‐Biu³

2022

Cureus

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Retroperitoneal fibrosis is a rare disease with a largely unknown aetiology, varying presentation, and is characterized by fibrous tissue formation in the retroperitoneal region. It causes entrapment and obstruction of retroperitoneal tubular structures, notably the ureters, and has been associated with autoimmune disorders. We report a 52-year-old male who was admitted to the emergency department with a seven-day history of lower abdominal pain, anorexia, and unintentional weight loss. Routine blood work revealed the patient to have acute kidney injury, and an unenhanced computed tomography scan of the abdomen showed bilateral hydronephrosis (grades 1 and 3 on the right and left, respectively) caused by a soft tissue mass in the retroperitoneal region. This mass was investigated with further imaging and a core biopsy, which confirmed retroperitoneal fibrosis. He is currently being planned for ureterolysis after a poor response to steroid therapy under the nephrology team. Urinary diversion was achieved with bilateral nephrostomies following unsatisfactory drainage with bilateral ureteric stents. This case highlights some of the difficulties that may be encountered in the management of retroperitoneal fibrosis.

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Idiopathic retroperitoneal fibrosis causing unilateral ureteral and sigmoid colon obstruction

Cited by 5 publications

References 15 publications

Large Bowel Obstruction

Large Bowel Obstruction

An atypical manifestation of idiopathic retroperitoneal fibrosis: A case report

Bilateral Ureteric Obstruction Due to Retroperitoneal Fibrosis: A Case Report

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