%0 Journal Article
%T A Rare Cause of Acute Renal Failure: Retroperitoneal Fibrosis - A Rare Cause of Acute Renal Failure: Retroperitoneal Fibrosis - Open Access Pub
%A Ediz Caner
%A Kizilkan Yunus Emre
%A Ozcelik Fatih
%A Temel Muhammed Cihan
%A YŁżlmaz Omer
%J OAP | Home | Journal of Clinical Case reports and Images | Open Access Pub
%D 2019
%X Idiopathic retroperitoneal fibrosis also known as Ormonds disease is a rare disorder characterized by the development of fibrotic tissue in the retroperitoneum. The fibrotic tissue may compress ureters, leading to obstructive nephrouropathy and renal failure. A 58-year-old man with fatigue, loss of appetite and unable to urinate was admitted to our clinic. Because of the serum creatinine value of 5.3 mg/dl, urinary ultrasonography was performed and bilateral grade 3 hydronephrosis with moderate level urine in bladder was detected. Hydronephrosis did not regress by transurethral foley catheter and suspicious appearance in the retroperitoneal area was found in abdominal magnetic resonance imaging. Tru-cut biopsy result of the current lesion was finally reported as a connective tissue. Bilateral double j catheter insertion was performed and started to immunosuppression therapy with corticosteroid. Two months later, double j catheters were removed and hydronephrosis was not detected in follow-up. In this case report, we tried to explain that, retroperitoneal fibrosis should be considered in the differential diagnosis of postrenal acute renal failure, even in patients without a classic symptom such as pain. In addition, early surgical intervention should be avoided in such patients. DOI10.14302/issn.2641-5518.jcci-19-3098 The clinical and pathological features of retroperitoneal fibrosis were first described by Ormond and also known as OrmondĄŻs disease.1 A few diseases cause chronic periaortitis and %70 of them is idiopathic retroperitoneal fibrosis.2The incidence is 0.1-3/100000 per year.3,4Although cases have been reported in children and adult males, it is often seen in men aged 50-60. It is known that all organs in the abdomen may be affected by partially or completely covering the retroperitoneal tissue with fibrosis tissue and / or inflammation, but ureters are the most commonly affected organ and are affected in 80-100% of cases. However, pancreas, biliary tract, retroperitoneal parts of the intestinal system, peripheral nerves, arterial and venous structures which are leading to lower extremities and pelvic organs are among the possible affected structures.5 Surgical decompression in necessary cases and glucocorticoid and / or immunosuppressive agents are the basis of treatment although there is no clear consensus in treatment because of lack of prospective randomized studies with high number of cases.6 Retroperitoneal fibrosis is usually diagnosed in urology practice with medialization of ureters with hydronephrosis and easy ureter catheterization
%U https://www.openaccesspub.org/jcci/article/1216