Retroperitoneal fibrosis presenting as acute renal failure

被引:5
作者
Reilly, RF
机构
[1] Univ Texas, SW Med Ctr Dallas, Dallas, TX 75235 USA
[2] Vet Affairs N Texas Hlth Care Syst, Nephrol, Dallas, TX USA
来源
NATURE CLINICAL PRACTICE NEPHROLOGY | 2005年 / 1卷 / 01期
关键词
acute renal failure; retroperitoneal fibrosis; ureterolysis; urinary tract obstruction;
D O I
10.1038/ncpneph0023
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Background A 60-year-old man with a history of atherosclerotic disease of the carotid and coronary vasculature presented with lower back pain and acute renal failure. Imaging studies revealed bilateral ureteral obstruction by a large retroperitoneal mass. Investigations Physical examination, urine and blood analysis, catheterization, radiography of the chest, abdominal and pelvic CT, magnetic resonance angiography, renal ultrasound and biopsy of mass. Diagnosis Retroperitoneal fibrosis. Management Ureteral stenting, laparoscopic ureterolysis, and immunosuppressive therapy with prednisone and mycophenolate mofetil.
引用
收藏
页码:55 / 59
页数:5
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