Yan Ağrısı ile Nadir Bir Başvuru Nedeni: Retroperitoneal Fibrozis
Year 2022,
Volume: 3 Issue: 1, 36 - 39, 12.03.2022
Gülşah Uçan
,
Mustafa Emin Çanakçı
,
Ömer Erdem Şevik
,
Ruhi Cüre
,
Ata Özen
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
References
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- 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
Gülşah Uçan
,
Mustafa Emin Çanakçı
,
Ömer Erdem Şevik
,
Ruhi Cüre
,
Ata Özen
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.
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