Knowledge (XXG)

Retroperitoneal fibrosis

Source πŸ“

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retroperitoneal fibrosis usually gives uneven MRI signals, is bulky, extends above the origins of renal arteries, or displaces the aorta anteriorly. Additionally, malignant retroperitoneal fibrosis less frequently displaces the ureters medially when compared to other causes of retroperitoneal fibrosis.
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The diagnosis of retroperitoneal fibrosis cannot be made on the basis of the results of laboratory studies. CT is the best diagnostic modality: a confluent mass surrounding the aorta and common iliac arteries can be seen. On MRI, it has low T1 signal intensity and variable T2 signal. Malignant
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Although biopsy is not usually recommended, it is appropriate when malignancy or infection is suspected. Biopsy should also be done if the location of fibrosis is atypical or if there is an inadequate response to initial treatment.
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Sevenet, François; Capron-Chivrac, Dominique; Delcenserie, Richard; Lelarge, Christian; Delamarre, Jacques; Capron, Jean-Pierre (1985). "Idiopathic Retroperitoneal Fibrosis and Primary Biliary Cirrhosis: A New Association?".
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Drieskens, Oliver; Blockmans, Daniel; Van den Bruel, Annick; Mortelmans, Luc (2002). "Riedel's thyroiditis and retroperitoneal fibrosis in multifocal fibrosclerosis: Positron emission tomographic findings".
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Fanidou, Domna; Filippou, Nikolaos; Katseli, Anastasia; Papadopoulos, Georgios; Skandalakis, Panagiotis; Filippou, Dimitrios (2018).
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Ormond JK (1948). "Bilateral ureteral obstruction due to envelopment and compression by an inflammatory retroperitoneal process".
1106:"IgG4-related retroperitoneal fibrosis overlapping with primary biliary cirrhosis and primary SjΓΆgren's syndrome: A case report" 1262:
Avaria P, Hirsch M.Forniceal rupture and urinoma secondary to retroperitoneal fibrosis: A clinical case and literature review.
1685: 1524: 1424: 1014:"Autoimmune pancreatitis metachronously associated with retroperitoneal fibrosis with IgG4-positive plasma cell infiltration" 1690: 1529: 261:
has shown to improve the condition in various small trials, although the exact mechanism of its action remains unclear.
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Kamisawa, Terumi; Egawa, Naoto; Nakajima, Hitoshi (2003). "Autoimmune Pancreatitis is a Systemic Autoimmune Disease".
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Biyani, Chandra Shekhar; Taylor, Joby; Browning, Anthony J. (2 September 2021). Schwartz, Bradley Fields (ed.).
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Biyani, Chandra Shekhar; Taylor, Joby; Browning, Anthony J. (2 September 2021). Schwartz, Bradley Fields (ed.).
1534: 1350: 866:"Idiopathic Retroperitoneal Fibrosis: A Retrospective Review of Clinical Presentation, Treatment, and Outcomes" 118:
The association of idiopathic retroperitoneal fibrosis with various immune-related conditions and response to
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LeBlanc, Claire M.A.; Inman, Robert D.; Dent, Peter; Smith, Charles; Babyn, Paul; Laxer, Ronald M. (2002).
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Fukukura, Yoshihiko; Fujiyoshi, Fumito; Nakamura, Fumihiko; Hamada, Hiroyuki; Nakajo, Masayuki (2003).
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Fatima, Javairiah; Gota, Carmen; Clair, Daniel G.; Billings, Steven D.; Gornik, Heather L. (2014).
123: 1657: 1574: 1479: 1086: 741: 532: 489: 917:"Autoimmune pancreatitis associated with retroperitoneal fibrosis mimicking cholangiocarcinoma" 373:
Ormond JK (October 1965). "Idiopathic retroperitoneal fibrosis: a discussion of the etiology".
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cause of idiopathic RPF. Many of these previously idiopathic cases can now be attributed to
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Kermani, Tanaz A.; Crowson, Cynthia S.; Achenbach, Sara J.; Luthra, Harvinder S. (2011).
690: 326: 1132: 1105: 1040: 1013: 943: 916: 892: 865: 800: 767: 663: 636: 436: 409: 247: 95: 67: 1344: 1240: 1223: 1065:"Retroperitoneal Fibrosis Presenting as Ureteral Obstruction Secondary to Sarcoidosis" 1012:
Kamisawa, Terumi; Chen, Pong-Yui; Tu, Yuyang; Nakajima, Hitoshi; Egawa, Naoto (2006).
477: 386: 351: 1679: 1625: 1448: 1090: 825:"Retroperitoneal Fibrosis: An Extraarticular Manifestation of Ankylosing Spondylitis" 729: 520: 1401: 653: 536: 493: 1642: 1630: 1620: 284: 147: 143: 135: 99: 745: 637:"Mixed Connective Tissue Disease with Retroperitoneal Fibrosis: A Rare Occurrence" 1355: 1081: 1064: 16:
Overgrowth of fibrous tissue in the lower back abdominal cavity (retroperitoneum)
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Thongprayoon, C; Spanuchart I; Cheungpasitporn W; Kangwanpornsiri A (May 2014).
197: 139: 87: 48: 1404: 1366: 321: 1557: 1512: 1474: 1464: 1329: 1263: 983: 131: 1030: 968:"Autoimmune Pancreatitis Associated with Idiopathic Retroperitoneal Fibrosis" 791: 426: 242:
In the absence of severe urinary tract obstruction (which generally requires
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Tatari, Murat; Trujillo, David Abia; Mira-Avendano, Isabel (October 2020).
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Vaglio A, Salvarani C, Buzio C (January 2006). "Retroperitoneal fibrosis".
445: 410:"Idiopathic retroperitoneal fibrosis: a challenging case in a rare disease" 359: 300: 1177: 933: 882: 394: 71: 1312: 1549: 243: 1224:"Inflammatory Abdominal Aortic Aneurysm with Retroperitoneal Fibrosis" 841: 824: 596:"IgG4-related retroperitoneal fibrosis: A newly characterized disease" 568: 551: 1456: 1324: 79: 254:
either as steroid-sparing agents or if refractory on steroids. The
552:"Advances in the diagnosis and management of IgG4 related disease" 251: 83: 550:
Lanzillotta, Marco; Mancuso, Gaia; Della-Torre, Emmanuel (2020).
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Huang, Xuan; Lu, Bin; Li, Meng; Fan, Yihong; Zhang, Lu (2018).
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Dhanawat, Aditya; Gupta, Partisha; Padhan, Prasanta (2020).
230:(PET) scan, FDG accumulation is shown in the affected area. 1197:
e-Journal of the European Society for Cardiology Practice
1277:"Retroperitoneal Fibrosis Treatment & Management" 1302: 246:
with omental wrapping), treatment is generally with
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It may present with 1593: 1548: 1488: 1455: 1376: 1306: 47: 37: 29: 24: 766:Vaglio, Augusto; Maritati, Federica (July 2016). 594:Lian, Linjuan; Wang, Cong; Tian, Jian-li (2016). 761: 759: 757: 755: 459: 457: 455: 1432: 772:Journal of the American Society of Nephrology 78:, the compartment of the body containing the 8: 66:is a disease featuring the proliferation of 1264:https://doi.org/10.1016/j.uromx.2015.10.001 600:International Journal of Rheumatic Diseases 278: 276: 274: 1439: 1425: 1417: 1303: 684: 682: 110:, who rediscovered the condition in 1948. 21: 1239: 1131: 1121: 1080: 1039: 1029: 942: 932: 891: 881: 840: 799: 662: 652: 611: 567: 435: 425: 270: 43:Rheumatology, vascular surgery, urology 589: 587: 208:inflammatory abdominal aortic aneurysm 1601:Urologic chronic pelvic pain syndrome 768:"Idiopathic Retroperitoneal Fibrosis" 256:selective estrogen receptor modulator 7: 1170:10.1001/archinte.1985.00360110200042 509:American Journal of Gastroenterology 691:"Retroperitoneal Fibrosis Overview" 14: 1241:10.1161/CIRCULATIONAHA.114.010173 1018:World Journal of Gastroenterology 972:American Journal of Roentgenology 730:10.1097/00003072-200206000-00005 521:10.1111/j.1572-0241.2003.08758.x 654:10.5606/ArchRheumatol.2020.7452 1525:Neurogenic bladder dysfunction 1193:"Inflammatory aortic aneurysm" 1: 1530:Bladder sphincter dyssynergia 1158:Archives of Internal Medicine 478:10.1016/S0140-6736(06)68035-5 387:10.1016/s0022-5347(17)63635-8 352:10.1016/s0022-5347(17)69482-5 1082:10.1016/j.chest.2020.08.1093 228:positron emission tomography 153:Other associations include: 1123:10.1097/MD.0000000000011303 921:Oxford Medical Case Reports 556:The British Medical Journal 283:van Bommel EF (July 2002). 1707: 829:Arthritis & Rheumatism 285:"Retroperitoneal fibrosis" 188:ANCA-associated vasculitis 183:inflammatory bowel disease 1563:Non-gonococcal urethritis 984:10.2214/ajr.181.4.1810993 718:Clinical Nuclear Medicine 203:primary biliary cirrhosis 158:connective tissue disease 150:, or certain infections. 1616:Retroperitoneal fibrosis 1535:Vesicointestinal fistula 1031:10.3748/wjg.v12.i18.2955 641:Archives of Rheumatology 427:10.4103/1947-2714.132945 322:Albarran-Ormond syndrome 60:Retroperitoneal fibrosis 25:Retroperitoneal fibrosis 1611:Urinary tract infection 1191:Poredos, Pavel (2008). 870:Mayo Clinic Proceedings 613:10.1111/1756-185X.12863 250:initially, followed by 193:autoimmune pancreatitis 122:led to a search for an 784:10.1681/ASN.2015101110 178:ankylosing spondylitis 173:membranous nephropathy 168:sclerosing cholangitis 1686:Urological conditions 1540:Vesicoureteral reflux 1503:Interstitial cystitis 883:10.4065/mcp.2010.0663 224:fludeoxyglucose (18F) 1691:IgG4-related disease 1648:Urinary incontinence 1606:Obstructive uropathy 1518:Hemorrhagic cystitis 163:Riedel's thyroiditis 128:IgG4-related disease 104:deep vein thrombosis 934:10.1093/omcr/omy056 1575:Urethral stricture 1480:Ureteric stricture 1377:External resources 1673: 1672: 1585:Urethral 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Index

Specialty
Risk factors
fibrous tissue
fibrosis
retroperitoneum
kidneys
aorta
renal tract
lower back pain
kidney failure
hypertension
deep vein thrombosis
John Kelso Ormond
immunosuppression
autoimmune
IgG4-related disease
malignancy
methysergide
hydralazine
beta blockers
radiotherapy
connective tissue disease
Riedel's thyroiditis
sclerosing cholangitis
membranous nephropathy
ankylosing spondylitis
inflammatory bowel disease
ANCA-associated vasculitis
autoimmune pancreatitis
sarcoidosis

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