Atypical Case of Ureteral Obstruction from Retroperitoneal Fibrosis

Authors

  • Boonlert Lertsupakul Division of Urology, Nakorn Sri Thamarat Hospital

Keywords:

retroperitoneal fibrosis, ureteral obstruction

Abstract

Purpose: The study contained herein was undertaken to report an original case of retroperitoneal fibrosis that resembled ureterovesical junction (UVJ) stone symptomatically.

Method: Reported is a case of retroperitoneal fibrosis with a brief literature review of the topic.

Result: Although many forms of retroperitoneal fibrosis have been reported. Compression of left ureter, with dysuria and flank pain as a chief complaint, made this case presentation. Although antegrade pyelogram finding supported the diagnosis of ureteral obstruction, an exploratory laparotomy nephroureterectomy was done.

Conclusion: Retroperitoneal fibrosis may mimic UVJ stone symptomatically. When differentiating the cause of ureteral obstruction, retroperitoneal fibrosis should be kept in mind.

Downloads

Download data is not yet available.

References

Ormond J. Bilateral ureteral obstruction due to envelopment and compression by an inflammatory process. J Urol 1948; 59: 1072-9.

McDougal WS, MacDonell RD JR. Treatment of idiopathic retroperitoneal fibrosis by immunosuppresssion. J Urol 1991; 145: 112-4.

Hoffman WW, Trippel OH. Retroperitoneal fibrosis: etiological considerations. J Urol 1961; 86: 222-31.

Gilkeson GS, Allen NB. Retroperitoneal fibrosis: a true connective tissue tissue disease. Rheum Dis Clin North Am 1996; 22: 23-38.

Bechtold RE, Dyer RB, Zagoria RJ, Chen MYM. The perirenal space : relationship of pathologic processes to normal peritoneal anatomy. Radiographics 1996; 16: 841-54.

Udd M, Jarvinen HJ, Haglund CH. Retroperitoneal fibrosis of the pancreatic head mimicking carcinoma of the pancreas. Eur J Surg 2001; 167: 148-50.

Wiesner W, Stoffel F, Bongartz G. Imaging findings in idiopathic pelvic fibrosis. Eur Radiol 2001; 11: 665-9.

Baker LR, Mallinson WJ, Gregory MC, Menzies EA, Cattell WR, Whitfield HN, et al. Idiopathic retroperitoneal fibrosis : retrospective analysis of 60 cases. Br J Urol 1988; 60: 497-503.

Cosgrove DO, Dubbins PA. The peritoneum and retroperitoneum. In: Meire HB, Cosgrove DO, Dewbury KC, Farrant P. editors. Abdominal and General Ultrasound. London: Churchill Livingstone; 2001. P. 447-77.

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: 454-62.

Vaglio A, Buzio C. Chronic periaortitis : a spectrum of diseases. Curr Opin Rheumatol 2005; 17: 34-40.

Jois RN, Gaffney K, Marshall T, Scott DGI. Chronic periaortitis. Rheumatology 2004; 43: 1441-6.

Karder AH, Kattan S, Lindstedt E, Hanash K. Steroid therapy for idiopathic retroperitoneal fibrosis: dose and duration. J Urol 2002; 168: 550-5.

Vaglio A Salvarani C, Buzio C. Retroperitoneal fibrosis. Lancet 2006; 367: 241-51.

Vivas I, Nicolas AI, Velazquez P, et al. Retroperitoneal fibrosis: typical and atypical manifestations. Br J Radiol 2000; 73: 214-22.

Saldino RM, Palubinskas AJ. Medial placement of ureter: a normal variant, which may simulate retroperitoneal fibrosis. J Urol 1972; 107: 582-5.

Uibu T, Oksa P, Auvinen A, Elduayen B, Fernández-Villa T, Martínez-Cuesta A. Abestos exposure as a risk factor for retroperitoneal fibrosis. Lancet 2004: 363: 1422-6.

Kotta JJ, Dunnick NR. Retroperitoneal fibrosis. Radiol Clin North Am 1996; 43: 1259-75.

Arrive L, Hricak H, Tavares NJ, Miller TR. Malignant versus nonmalignant retroperitoneal fibrosis: differentiation with MR imaging. Radiology 1989; 172: 139-43.

Warnatz K, Keskin AG, Uhl C, Scholz C, Katzenwadel A, Vaith P, et al. Immunosuppressive treatment of chronic periaortitis: a retrospective study of 20 patients with chronic periaortitis and a review of the literature. Ann Rheum Dis 2005; 64: 828-33.

Scavalli AS, Spadaro A, Riccieri V, Ricciuti GP, Taccari E, Marini M, et al. Long-term follow-up of low dose methotrexate therapy in one case of idiopathic retroperitoneal fibrosis. Clin Rheumatol 1995; 14: 481-4.

Marzano A, Trapani A, Leone N, Actis GC, Rizzetto M. Treatment of idiopathic retroperitoneal fibrosis using cyclosporin. Ann Rheum Dis 2001; 60: 427-8.

Loffeld RJLF, van Weel TF. Tamoxifen for retroperitoneal fibrosis. Lancet 1993; 341: 382.

Al-Musawi d, Mitchenere P, Al-Akraa M. Idiopathic retroperitoneal fibrosis treated with tamoxifen only. Br J Urol 1998; 82: 442-3.

Downloads

Published

2007-12-01

How to Cite

Lertsupakul, B. (2007). Atypical Case of Ureteral Obstruction from Retroperitoneal Fibrosis. Insight Urology, 28(2), 81–85. Retrieved from https://he02.tci-thaijo.org/index.php/TJU/article/view/253164

Issue

Section

Case Report