A Rare Cause of Admission with Flank Pain: Retroperitoneal Fibrosis

Gülşah Uçan; Mustafa Emin Çanakçı; Ömer Erdem Şevik; Ruhi Cüre; Ata Özen

doi:10.48176/esmj.2022.54

Case Report

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

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.

Keywords

Acil servis, Retroperitoneal Fibrozis, Hidronefroz, ultrasonografi

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

Gülşah Uçan , Mustafa Emin Çanakçı , Ömer Erdem Şevik , Ruhi Cüre , Ata Özen

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.

Keywords

Emergency department, Retroperitoneal fibrosis, Hydronephrosis, Ultrasonography

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.

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