Case Report
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Yan Ağrısı ile Nadir Bir Başvuru Nedeni: Retroperitoneal Fibrozis

Year 2022, Volume: 3 Issue: 1, 36 - 39, 12.03.2022
https://doi.org/10.48176/esmj.2022.54

Abstract

Retroperitoneal fibrozis (RPF), inflamatuar ve fibrotik süreçleri olan, nadir görülen, yavaş ilerleyen bir hastalıktır. Tanımlanan nedenler arasında maligniteler, karın içi ameliyatlar, bazı ilaçlar ve enfeksiyon sonrası inflamasyon yer alır. Bununla birlikte, çoğu durumda neden tespit edilemez. Erkeklerde iki kat daha sık görülür. Ortalama yaş 50-60 yıl civarındadır. Fibrozis genellikle abdominal aort çevresinde gelişir. Üreteral kompresyon, obstrüktif üropati semptomları ile ortaya çıkabilir. Hidronefrozlu hastalarda cerrahi birincil tedavi seçeneğidir. Bu olgu sunumunda yan ağrısı şikayeti ile acil servise başvuran bir hastada yatak başı ultrasonografi ve bilgisayarlı tomografi (BT) görüntüleme ile saptanan RPF tedavisini sunuyoruz.

Supporting Institution

yok

Project Number

yok

References

  • 1. Vaglio A, Salvarani C, Buzio C. Retroperitoneal fibrosis. In: Lancet. Vol 367. Lancet; 2006:241-251. doi:10.1016/S0140-6736(06)68035-5
  • 2. Ilie CP, Pemberton RJ, Tolley DA. Idiopathic retroperitoneal fibrosis: The case for nonsurgical treatment. BJU Int. 2006;98(1):137-140. doi:10.1111/j.1464-410X.2006.06210.x
  • 3. van Bommel EFH, Jansen I, Hendriksz TR, Aarnoudse ALHJ. Idiopathic Retroperitoneal Fibrosis. Medicine (Baltimore). 2009;88(4):193-201. doi:10.1097/MD.0b013e3181afc420
  • 4. Yachoui R, Sehgal R, Carmichael B. Idiopathic retroperitoneal fibrosis: clinicopathologic features and outcome analysis. Clin Rheumatol. 2016;35(2):401-407. doi:10.1007/s10067-015-3022-y
  • 5. Kermani TA, Crowson CS, Achenbach SJ, Luthra HS. Idiopathic retroperitoneal fibrosis: A retrospective review of clinical presentation, treatment, and outcomes. Mayo Clin Proc. 2011;86(4):297-303. doi:10.4065/mcp.2010.0663
  • 6. Caiafa RO, Vinuesa AS, Izquierdo RS, Brufau BP, Colella JRA, Molina CN. Retroperitoneal fibrosis: Role of imaging in diagnosis and follow-up. Radiographics. 2013;33(2):535-552. doi:10.1148/rg.332125085
  • 7. Vaglio A, Corradi D, Manenti L, Ferretti S, Garini G, Buzio C. Evidence of autoimmunity in chronic periaortitis: A prospective study. Am J Med. 2003;114(6):454-462. doi:10.1016/S0002-9343(03)00056-1
  • 8. Katz R, Golijanin D, Pode D, Shapiro A. Primary and postoperative retroperitoneal fibrosis - Experience with 18 cases. Urology. 2002;60(5):780-783. doi:10.1016/S0090-4295(02)01910-6
  • 9. Baker LRI, Mallinson WJW, Gregory MC, et al. Idiopathic Retroperitoneal Fibrosis. A Retrospective Analysis of 60 Cases. Br J Urol. 1987;60(6):497-503. doi:10.1111/j.1464-410X.1987.tb05028.x
  • 10. Das D, Brigg J, Brown CM. Hypertensive encephalopathy in a patient with retroperitoneal fibrosis. Postgrad Med J. 1999;75(890):730-731. doi:10.1136/pgmj.75.890.730
  • 11. Herbst MK, Rosenberg G, Daniels B, et al. Effect of provider experience on clinician-performed ultrasonography for hydronephrosis in patients with suspected renal colic. Ann Emerg Med. 2014;64(3):269-276. doi:10.1016/j.annemergmed.2014.01.012
  • 12. Cristian S, Cristian M, Cristian P, et al. Management of idiopathic retroperitoneal fibrosis from the urologist’s perspective. Ther Adv Urol. 2015;7(2):85-99. doi:10.1177/1756287214565637
  • 13. Swartz RD. Idiopathic Retroperitoneal Fibrosis: A Review of the Pathogenesis and Approaches to Treatment. Am J Kidney Dis. 2009;54(3):546-553. doi:10.1053/j.ajkd.2009.04.019
  • 14. Zhao J, Li J, Zhang Z. Long-term outcomes and predictors of a large cohort of idiopathic retroperitoneal fibrosis patients: a retrospective study. Scand J Rheumatol. 2019;48(3):239-245. doi:10.1080/03009742.2018.1497700

A Rare Cause of Admission with Flank Pain: Retroperitoneal Fibrosis

Year 2022, Volume: 3 Issue: 1, 36 - 39, 12.03.2022
https://doi.org/10.48176/esmj.2022.54

Abstract

Retroperitoneal fibrosis (RPF) is a rare, slow progressing disease with inflammatory and fibrotic processes. The identified causes include malignancies, intra-abdominal surgeries, certain drugs, and postinfectious inflammation. However, the cause cannot be identified in most cases. It is observed twice as frequently in males. The mean age is around 50–60 years. Fibrosis usually develops around the abdominal aorta. Ureteral compression can present with symptoms of obstructive uropathy. Surgery is the primary treatment option in patients with hydronephrosis. In this case report, we present the management of RPF which was detected by bedside ultrasonography and computed tomography (CT) imaging in a patient admitted to the emergency department with a complaint of flank pain.

Project Number

yok

References

  • 1. Vaglio A, Salvarani C, Buzio C. Retroperitoneal fibrosis. In: Lancet. Vol 367. Lancet; 2006:241-251. doi:10.1016/S0140-6736(06)68035-5
  • 2. Ilie CP, Pemberton RJ, Tolley DA. Idiopathic retroperitoneal fibrosis: The case for nonsurgical treatment. BJU Int. 2006;98(1):137-140. doi:10.1111/j.1464-410X.2006.06210.x
  • 3. van Bommel EFH, Jansen I, Hendriksz TR, Aarnoudse ALHJ. Idiopathic Retroperitoneal Fibrosis. Medicine (Baltimore). 2009;88(4):193-201. doi:10.1097/MD.0b013e3181afc420
  • 4. Yachoui R, Sehgal R, Carmichael B. Idiopathic retroperitoneal fibrosis: clinicopathologic features and outcome analysis. Clin Rheumatol. 2016;35(2):401-407. doi:10.1007/s10067-015-3022-y
  • 5. Kermani TA, Crowson CS, Achenbach SJ, Luthra HS. Idiopathic retroperitoneal fibrosis: A retrospective review of clinical presentation, treatment, and outcomes. Mayo Clin Proc. 2011;86(4):297-303. doi:10.4065/mcp.2010.0663
  • 6. Caiafa RO, Vinuesa AS, Izquierdo RS, Brufau BP, Colella JRA, Molina CN. Retroperitoneal fibrosis: Role of imaging in diagnosis and follow-up. Radiographics. 2013;33(2):535-552. doi:10.1148/rg.332125085
  • 7. Vaglio A, Corradi D, Manenti L, Ferretti S, Garini G, Buzio C. Evidence of autoimmunity in chronic periaortitis: A prospective study. Am J Med. 2003;114(6):454-462. doi:10.1016/S0002-9343(03)00056-1
  • 8. Katz R, Golijanin D, Pode D, Shapiro A. Primary and postoperative retroperitoneal fibrosis - Experience with 18 cases. Urology. 2002;60(5):780-783. doi:10.1016/S0090-4295(02)01910-6
  • 9. Baker LRI, Mallinson WJW, Gregory MC, et al. Idiopathic Retroperitoneal Fibrosis. A Retrospective Analysis of 60 Cases. Br J Urol. 1987;60(6):497-503. doi:10.1111/j.1464-410X.1987.tb05028.x
  • 10. Das D, Brigg J, Brown CM. Hypertensive encephalopathy in a patient with retroperitoneal fibrosis. Postgrad Med J. 1999;75(890):730-731. doi:10.1136/pgmj.75.890.730
  • 11. Herbst MK, Rosenberg G, Daniels B, et al. Effect of provider experience on clinician-performed ultrasonography for hydronephrosis in patients with suspected renal colic. Ann Emerg Med. 2014;64(3):269-276. doi:10.1016/j.annemergmed.2014.01.012
  • 12. Cristian S, Cristian M, Cristian P, et al. Management of idiopathic retroperitoneal fibrosis from the urologist’s perspective. Ther Adv Urol. 2015;7(2):85-99. doi:10.1177/1756287214565637
  • 13. Swartz RD. Idiopathic Retroperitoneal Fibrosis: A Review of the Pathogenesis and Approaches to Treatment. Am J Kidney Dis. 2009;54(3):546-553. doi:10.1053/j.ajkd.2009.04.019
  • 14. Zhao J, Li J, Zhang Z. Long-term outcomes and predictors of a large cohort of idiopathic retroperitoneal fibrosis patients: a retrospective study. Scand J Rheumatol. 2019;48(3):239-245. doi:10.1080/03009742.2018.1497700
There are 14 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Report
Authors

Gülşah Uçan 0000-0003-4105-653X

Mustafa Emin Çanakçı 0000-0001-9015-1782

Ömer Erdem Şevik 0000-0002-1855-4963

Ruhi Cüre 0000-0003-4821-2865

Ata Özen 0000-0002-0890-486X

Project Number yok
Publication Date March 12, 2022
Published in Issue Year 2022 Volume: 3 Issue: 1

Cite

APA Uçan, G., Çanakçı, M. E., Şevik, Ö. E., Cüre, R., et al. (2022). A Rare Cause of Admission with Flank Pain: Retroperitoneal Fibrosis. Eskisehir Medical Journal, 3(1), 36-39. https://doi.org/10.48176/esmj.2022.54
AMA Uçan G, Çanakçı ME, Şevik ÖE, Cüre R, Özen A. A Rare Cause of Admission with Flank Pain: Retroperitoneal Fibrosis. Eskisehir Med J. March 2022;3(1):36-39. doi:10.48176/esmj.2022.54
Chicago Uçan, Gülşah, Mustafa Emin Çanakçı, Ömer Erdem Şevik, Ruhi Cüre, and Ata Özen. “A Rare Cause of Admission With Flank Pain: Retroperitoneal Fibrosis”. Eskisehir Medical Journal 3, no. 1 (March 2022): 36-39. https://doi.org/10.48176/esmj.2022.54.
EndNote Uçan G, Çanakçı ME, Şevik ÖE, Cüre R, Özen A (March 1, 2022) A Rare Cause of Admission with Flank Pain: Retroperitoneal Fibrosis. Eskisehir Medical Journal 3 1 36–39.
IEEE G. Uçan, M. E. Çanakçı, Ö. E. Şevik, R. Cüre, and A. Özen, “A Rare Cause of Admission with Flank Pain: Retroperitoneal Fibrosis”, Eskisehir Med J, vol. 3, no. 1, pp. 36–39, 2022, doi: 10.48176/esmj.2022.54.
ISNAD Uçan, Gülşah et al. “A Rare Cause of Admission With Flank Pain: Retroperitoneal Fibrosis”. Eskisehir Medical Journal 3/1 (March 2022), 36-39. https://doi.org/10.48176/esmj.2022.54.
JAMA Uçan G, Çanakçı ME, Şevik ÖE, Cüre R, Özen A. A Rare Cause of Admission with Flank Pain: Retroperitoneal Fibrosis. Eskisehir Med J. 2022;3:36–39.
MLA Uçan, Gülşah et al. “A Rare Cause of Admission With Flank Pain: Retroperitoneal Fibrosis”. Eskisehir Medical Journal, vol. 3, no. 1, 2022, pp. 36-39, doi:10.48176/esmj.2022.54.
Vancouver Uçan G, Çanakçı ME, Şevik ÖE, Cüre R, Özen A. A Rare Cause of Admission with Flank Pain: Retroperitoneal Fibrosis. Eskisehir Med J. 2022;3(1):36-9.