Retroperitoneal fibrosis due to tuberculosis, Aldomet and Daonil

Abstract

Two cases of retroperitoneal fibrosis are discussed. The first patient was a known hypertensive and diabetic and had been on Aldomet and Daonil for a long time. The second patient was a tuberculotic and is improving on antitubercular therapy. Retroperitoneal fibrosis due to the above-mentioned drugs and tuberculosis are relatively unknown.

Mycobacterium tuberculosis as a cause of chronic periaortitis

“…tuberculosis is a rare cause of retroperitoneal disease and when it does occur more commonly gives rise to tubercular pseudotumours and retroperitoneal abscesses [5,6]. Confluent peritoneal lymphadenopathy may cause secondary oedema and thus ureteric obstruction, mimicking CP [6,7]. CP may also occur secondary to spinal, peritoneal or haematogenous spread of distant M. tuberculosis infection [3,8].…”

“…In this case the initial tubercular focus may have been pulmonary, with precipitation of overt clinical symptoms following systemic corticosteroid therapy. TB-related CP has a good outcome with adequate antitubercular therapy [3,7], making this a treatable cause of CP. FIG.…”