Idiopathic retroperitoneal fibrosis

被引：2

作者：

Kisiel, Bartlomiej ^{[1
]}

Kruszewski, Robert ^{[1
]}

Jurek-Urbanowska, Agnieszka ^{[1
]}

Kidzinski, Rafal ^{[2
]}

Frankowska, Emilia ^{[2
]}

Sulek, Marian ^{[1
]}

Tlustochowicz, Malgorzata ^{[1
]}

Boguslawska-Walecka, Romana ^{[2
]}

Tlustochowicz, Witold ^{[1
]}

机构：

[1] Mil Inst Hlth Serv, Dept Internal Dis & Rheumatol, Warsaw, Poland

[2] Mil Inst Hlth Serv, Dept Radiol, Warsaw, Poland

来源：

POLSKIE ARCHIWUM MEDYCYNY WEWNETRZNEJ-POLISH ARCHIVES OF INTERNAL MEDICINE | 2009年 / 119卷 / 10期

关键词：

azathioprine; chronic periaortitis; corticosteroids; retroperitoneal fibrosis; CHRONIC PERIAORTITIS;

D O I：

10.20452/pamw.803

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 45-year-old woman was admitted to the hospital because of abdominal pain, fever, and weight loss Laboratory tests performed on admission revealed raised inflammatory markers. Ultrasonography of the abdomen showed dilatation of the pyelocalyceal system of the left kidney, while computed tomography showed retropentoneal concentric periaortic mass extending to common iliac arteries and entrapping the left ureter. We established the diagnosis of idiopathic retroperitoneal fibrosis (RPF) JJ catheter was placed in the left ureter, and treatment with corticosteroids and azathioprine was started. Follow-up examinations showed a gradual improvement, namely a progressive remission of the retropentoneal mass and normalization of both erythrocyte sedimentation rate and C-reactive protein concentration. Case reports, including our paper, and small case series showed azathioprine to be particularly effective in the treatment of RPF.

引用

页码：677 / 678

页数：2

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