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

Koji Mitsuzuka, Ken Ichi Suzuki, Mutsuo Takeuchi

Research output: Contribution to journalArticle

1 Citation (Scopus)

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.

Original languageEnglish
Pages (from-to)777-780
Number of pages4
JournalActa Urologica Japonica
Volume47
Issue number11
Publication statusPublished - 2001 Nov 1
Externally publishedYes

Keywords

  • Acute renal failure
  • Idiopathic retroperitoneal fibrosis
  • Magnetic resonance imaging
  • Steroids
  • Traditional Chinese medicine

ASJC Scopus subject areas

  • Urology

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