[A case of idiopathic retroperitoneal fibrosis causing acute renal failure and markedly responsive to drug therapy].

Abstract

We report a case of idiopathic retroperitoneal fibrosis in a 66-year-old man. He was admitted to our hospital because of acute renal failure, and emergent hemodialysis was performed. Computed tomography scanning showed a retroperitoneal mass surrounding the abdominal aorta and bilateral common iliac arteries. The mass involved bilateral ureters and acute renal failure was caused by bilateral hydronephrosis. Magnetic resonance imaging demonstrated that the mass was slightly high intensity on T2 weighted image. It was considered to be idiopathic retroperitoneal fibrosis. After inserting ureteral catheters into bilateral ureters, his renal function recovered. The layer of the fibrosis became thin by steroids and traditional Chinese medicine, and bilateral ureteral catheters could be removed two months later. At ten months after the treatment, no ureteral obstruction was observed and renal function is preserved.

• Authors: K Mitsuzuka, K Suzuki, M Takeuchi
• Journal: Hinyokika kiyo. Acta urologica Japonica (Hinyokika Kiyo) Vol. 47 Issue 11 Pg. 777-80 (Nov 2001) ISSN: 0018-1994 [Print] Japan
• PMID: 11771169 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• Anti-Inflammatory Agents
• Drugs, Chinese Herbal
• Prednisolone

Topics

• Acute Kidney Injury (drug therapy, etiology, therapy)
• Aged
• Anti-Inflammatory Agents (administration & dosage)
• Drug Therapy, Combination
• Drugs, Chinese Herbal (administration & dosage)
• Humans
• Magnetic Resonance Imaging
• Male
• Prednisolone (administration & dosage)
• Renal Dialysis
• Retroperitoneal Fibrosis (complications, diagnosis)
• Urinary Catheterization