Idiopathic Retroperitoneal Fibrosis: A Long-Term Follow-Up Study

Alexopoulos, Efstathios; Memmos, Dimitrios; Bakatselos, S.; Rombis, V.; Sakellariou, G; Gaganakis, J.; Hadjidimitriou, Chr.; Papadimitriou, M.

doi:10.1159/000472808

Cited by 13 publications

(3 citation statements)

References 10 publications

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“…However, no predictors of response to therapy, corticosteroid requirement, or disease relapse have been identified [6]. The relapse rate after discontinuation of treatment ranges from less than 10–30%, although one series reported a recurrence rate of over 70% [10, 26–29]. Ureteral obstruction is estimated to recur in up to half of patients who undergo surgery alone and in about 10% of those treated with both surgery and steroid [10].…”

Section: Prognosismentioning

confidence: 99%

Retroperitoneal Fibrosis: A Rare Cause of Acute Renal Failure

Ezimora

Faulkner

Adebiyi

et al. 2012

Case Reports in Nephrology

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Introduction. Retroperitoneal fibrosis is a rare cause of acute renal failure (ARF) with only a handful of cases reported in literature. We report a case of a 40-year-old male with an incidental finding of retroperitoneal fibrosis. Case Presentation. Patient is a 40-year-old African American male with no significant past medical history who presented with a four-month history of low back pain and associated nausea with vomiting. Physical examination was significant for elevated blood pressure at 169/107 mmhg and bilateral pedal edema. Significant admission laboratory include blood urea nitrogen (BUN) of 108 mg/dL, serum creatinine (Cr) of 23 mg/dL, bicarbonate of 19 mg/dL, and potassium of 6.2 mmL/L. Renal ultrasound showed bilateral hydronephrosis. Post-void residual urine volume was normal. Abdominopelvic CT scan showed retroperitoneal fibrosis confirmed with fine-needle biopsy. He was treated with a combination of bilateral ureteral stent placement, hemodialysis, and steroid therapy. Four months after hospital discharge, his BUN and Cr levels Improved to 18 mg/dL and 1.25 mg/dL, respectively. Conclusion. Retroperitoneal fibrosis should be considered as a differential diagnosis in patients with acute renal failure and obstructive uropathy. Abdominal CT scan is the examination of choice for diagnosis. Full resolution with treatment depends on the duration of obstruction.

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Section: Prognosismentioning

confidence: 99%

Retroperitoneal Fibrosis: A Rare Cause of Acute Renal Failure

Ezimora

Faulkner

Adebiyi

et al. 2012

Case Reports in Nephrology

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“…Corticosteroids as the primary modality of therapy had been tried in about 200 cases of in the literature (26,27,28). There had been a good response in about 80-85% of the cases and the rest had recurred, most within 1 year.…”

Section: Pharmacotherapymentioning

confidence: 99%

Retroperitoneal fibrosis – an unsolved mystery

Premachandra¹,

Perera

2012

Sri Lanka J. Urology

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“…Uzun dönem takip sonuçlar n n ve randomize çal malar n eksikli ine ra men medikal tedavinin %50-80 olguda ba ar l oldu u görülmektedir. [9][10][11][12] Fakat iddetli hastal kta medikal tedavinin etkinli inin daha dü ük oldu u dü ünülmektedir. [10,11] Yine bu çal malar medikal tedavinin özellikle hastal n akut döneminde etkili oldu unu göstermektedir.…”

Section: Gereç Ve Yöntemunclassified

Laparoscopic ureterolysis in surgery of idiopatic retroperitoneal fibrosis: our initial results

Binbay¹,

Aslan²,

Sarı³

et al. 2010

Turkish Journal of Urology

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Amaç: Retroperitonal fibrozis (RF) retroperitonda inflamasyon ve fibrozis ile seyreden ve s kl kla üreteral obstrüksiyona neden olan bir hastal kt r. Obstrüktif nefropati geli en olgularda tedavi olarak aç k, robotik veya laparoskopik üreterolizis (LÜ) uygulanmaktad r. Bu çal mada RF'li hastalara uygulad m z LÜ ve üreteral intraperitonalizasyon sonuçlar n de erlendirmeyi amaçlad k. Gereç ve yöntem: Klini imizde Ocak 2007 ile Eylül 2009 tarihleri aras nda ortalama ya 57.2±6.1 olan 4'ü bilateral 1'i ünilateral olmak üzere toplam 5 hasta (4 erkek 1 kad n) ve 9 üreteral üniteye LÜ prosedürü uyguland. Klinik, operasyona ait ve operasyon sonras veriler ileriye yönelik olarak topland ve geriye yönelik olarak analiz edildi. Bulgular: Operasyon süresi ünilateral i lem için 141 dakika iken ortalama operasyon süresi bilateral i lemler için 277.5±27.5 (aral k: 250-310) dakika idi. Ortalama kan kayb ünilateral ve bilateral i lemler için s ras yla 75 mL ve 122.5±23.2 (da l m 100-145) mL idi. Ortalama dren al nma süresi 2.2±0.8 (da l m 1-3) gün ve ortalama hastanede kal süresi 2.6±1.1 (da l m 1-4) gündü. Ortalama 14.8±4.2 (da l m 8-19) ayl k takip süresince hiçbir hastada üreteral obstrüksiyon geli medi. Sonuç: Bulgular m z LÜ'nün dü ük morbidite ve yüksek ba ar oranlar ile uygulanabildi ini göstermektedir. LÜ, RF tedavisinde, i lemin minimal invazif do as ve yüksek etkinli i nedeniyle öncelikli tedavi seçene i olmal d r.

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Idiopathic Retroperitoneal Fibrosis: A Long-Term Follow-Up Study

Cited by 13 publications

References 10 publications

Retroperitoneal Fibrosis: A Rare Cause of Acute Renal Failure

Retroperitoneal Fibrosis: A Rare Cause of Acute Renal Failure

Retroperitoneal fibrosis – an unsolved mystery

Laparoscopic ureterolysis in surgery of idiopatic retroperitoneal fibrosis: our initial results

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