An atypical manifestation of idiopathic retroperitoneal fibrosis: A case report. Issue 2 (May 2021)

• Record Type: Journal Article
• Authors: Ghieh, Diamond; Saade, Charbel; El-Merhi, Fadi
• Is Part Of: Urologia journal. Volume 88:Issue 2(2021)
• Page Start: 153
• Page End: 156
• Publication Date: 2021-05
• Subjects: Retroperitoneal fibrosis -- computed tomography -- iliac vessels -- steroids; Urology -- Periodicals; 616.6005
• DOI: 10.1177/0391560319899302
• Languages: English
• ISSNs: 0391-5603

Abstract

A 58-year-old male patient, previously healthy, presented with right flank pain of few hours duration. Initial workup showed an elevated creatinine and right hydroureteronephrosis. Computed tomography imaging revealed a retroperitoneal soft tissue mass encasing the right common iliac artery which is a first reported case in its anatomical distribution. Patient was referred to interventional radiology service where a percutaneous nephrostomy tube was placed followed by double J stenting. Subsequently, treatment with steroids was started. Follow up imaging a few months later revealed progressive resolution of the inflammatory process.