Idiopathic Retroperitoneal Fibrosis With Functional Duodenal Obstruction

Siegel, George J.; Hall, Jaimee; Welling, Richard E.

doi:10.1097/00007611-198007000-00038

Cited by 5 publications

(5 citation statements)

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“…Duodenal obstruction produces vomiting as one of the presenting symptoms, though this is a rare clinical entity (4,16). The third portion may be the most vulnerable portion of the duodenum in patients with IRF.…”

Section: Discussionmentioning

confidence: 99%

“…Operative intervention followed by steroid therapy is selected in most cases of ureteral or alimentary tract obstruction (3,4,7,17,18 …”

Section: Discussionmentioning

confidence: 99%

“…The distal part of the common bile duct can also be affected and may lead to cholestasis (2,3). Duodenal obstruction due to IRF is a rarely reported clinical entity and the symptomsof nausea, vomiting, and body weight loss are usually presented several months after the initial diagnosis (4). IRF association with vascular obstruction also has been reported rarely (5), and chronic small bowel ischemia has primarily manifested itself by abdominal pain, diarrhea and body weight loss occurring in close relation to meals (6).…”

Section: Introductionmentioning

confidence: 99%

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A Rare Case of Idiopathic Retroperitoneal Fibrosis Involving Obstruction of the Mesenteric Arteries, Duodenum, Common Bile Duct, and Inferior Vena Cava

et al. 2003

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Idiopathic retroperitoneal fibrosis (IRF), usually affects the ureter, although the biliary tree, duodenum and vasculature mayalso be susceptible. This case report describes a 64-year-old man with IRF, who presented painless watery diarrhea, radiological features of obstructive jaundice and duodenal obstruction, and ultimately an obstruction of the inferior vena cava. We employed tamoxifen for his treatment, but the disease progressed and the patient died of multiple organ failure two years after the onset. While the cause of IRF in this patient was obscure, we suspected his painless watery diarrhea indicated chronic ischemia of the small bowel, and the findings of an abdominal CTscan were extremely valuable in indicating IRF. (Internal Medicine 42: 812-817, 2003)

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Section: Discussionmentioning

confidence: 99%

“…Operative intervention followed by steroid therapy is selected in most cases of ureteral or alimentary tract obstruction (3,4,7,17,18 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Rare Case of Idiopathic Retroperitoneal Fibrosis Involving Obstruction of the Mesenteric Arteries, Duodenum, Common Bile Duct, and Inferior Vena Cava

et al. 2003

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“…8 , 13 – 15 Another four patients improved with surgery only, 11 , 12 , 16 , 17 and both surgery and corticosteroid administration were performed for two patients, although one died suddenly after discharge. 9 , 10 One patient received no treatment because of death due to acute myocardial infarction. 7 In the current case, the unbearable clinical manifestations of duodenal stenosis, the possibility of malignancy, and the extremely rapid growth of the mass, presumably owing to intra-mass hemorrhage, justified the surgical strategy.…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, only 11 cases of retroperitoneal fibrosis that caused duodenal stenosis have been reported. [7][8][9][10][11][12][13][14][15][16][17] In most cases, the provisional diagnosis was solely based on the radiological findings and clinical manifestations. Of the 11 cases, 4 were successfully treated with corticosteroids without surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic retroperitoneal fibrosis mimicking infiltrative malignancy: a case report

et al. 2022

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The treatment strategy for an idiopathic retroperitoneal mass has not yet been established. Additionally, differentiating between benign and malignant is a challenge. Herein, we report a case in which we performed partial resection of a mass in a symptomatic patient with idiopathic retroperitoneal fibrosis that mimicked malignancy. A 44-year-old woman with an unremarkable medical history other than gallstones presented with a 1-month history of abdominal pain and repetitive vomiting. Imaging studies identified a large, retroperitoneal mass compressing the duodenum that had grown acutely over the preceding 2 weeks. The possibility that the mass was malignant could not be excluded. Considering the invasiveness and potential curability, we performed partial resection of the mass, which involved partial colonic resection with reconstruction, to allow for pathological diagnosis and intestinal obstruction treatment. The final pathological findings revealed that the mass consisted of hemorrhagic and fibrotic tissue without a tumorous component. The patient’s postoperative course was unremarkable. She is alive 8 years postoperatively with no recurrence. In conclusion, a surgical approach, including biopsies, to idiopathic retroperitoneal fibrosis that mimics malignancy should be actively considered in symptomatic patients. Decisions regarding the required degree of surgical intervention call for sufficient, case-specific discussion.

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Miscellaneous Gastroduodenal Pathology

Rotterdam

Enterline

1989

Pathology of the Stomach and Duodenum

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Idiopathic Retroperitoneal Fibrosis With Functional Duodenal Obstruction

Cited by 5 publications

References 0 publications

A Rare Case of Idiopathic Retroperitoneal Fibrosis Involving Obstruction of the Mesenteric Arteries, Duodenum, Common Bile Duct, and Inferior Vena Cava

A Rare Case of Idiopathic Retroperitoneal Fibrosis Involving Obstruction of the Mesenteric Arteries, Duodenum, Common Bile Duct, and Inferior Vena Cava

Idiopathic retroperitoneal fibrosis mimicking infiltrative malignancy: a case report

Miscellaneous Gastroduodenal Pathology

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