Combined surgical intervention and medical management in a case of atypical idiopathic retroperitoneal fibrosis
Idiopathic retroperitoneal fibrosis (RPF) is one of the causes of obstructive uropathy. This disease, ever since its original description in 1948, has undergone much trial and error in its management. We present a case of a rare type of idiopathic RPF causing obstructive uropathy, which is perirenal...
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| Veröffentlicht in: | International journal of urology 2006-03, Vol.13 (3), p.291-293 |
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| container_title | International journal of urology |
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| creator | SAHEED, MOHAMMED CS GINILKUMAR, POOLERI SANJEEVAN, KALAVAMPARA V BHAT, SANJAY H |
| description | Idiopathic retroperitoneal fibrosis (RPF) is one of the causes of obstructive uropathy. This disease, ever since its original description in 1948, has undergone much trial and error in its management. We present a case of a rare type of idiopathic RPF causing obstructive uropathy, which is perirenal and different from the classical RPF seen around the great vessels. To our knowledge, such a type of RPF has not been described. We treated the patient by a combined surgical approach in the form of ureterolysis and omentoplasty, followed by medical management with steroids and tamoxifen. The combined regimen yielded excellent results, and the patient is doing well at 9 months of follow up. The rarity of the presentation, with predominant bilateral perirenal fibrosis, and response of perirenal RPF to steroids and tamoxifen, is highlighted in this case presentation. |
| doi_str_mv | 10.1111/j.1442-2042.2006.01281.x |
| format | Article |
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This disease, ever since its original description in 1948, has undergone much trial and error in its management. We present a case of a rare type of idiopathic RPF causing obstructive uropathy, which is perirenal and different from the classical RPF seen around the great vessels. To our knowledge, such a type of RPF has not been described. We treated the patient by a combined surgical approach in the form of ureterolysis and omentoplasty, followed by medical management with steroids and tamoxifen. The combined regimen yielded excellent results, and the patient is doing well at 9 months of follow up. 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This disease, ever since its original description in 1948, has undergone much trial and error in its management. We present a case of a rare type of idiopathic RPF causing obstructive uropathy, which is perirenal and different from the classical RPF seen around the great vessels. To our knowledge, such a type of RPF has not been described. We treated the patient by a combined surgical approach in the form of ureterolysis and omentoplasty, followed by medical management with steroids and tamoxifen. The combined regimen yielded excellent results, and the patient is doing well at 9 months of follow up. The rarity of the presentation, with predominant bilateral perirenal fibrosis, and response of perirenal RPF to steroids and tamoxifen, is highlighted in this case presentation.</description><subject>Antineoplastic Agents, Hormonal - therapeutic use</subject><subject>Biopsy</subject><subject>Diagnosis, Differential</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Laparotomy - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>retroperitoneal fibrosis</subject><subject>Retroperitoneal Fibrosis - complications</subject><subject>Retroperitoneal Fibrosis - diagnosis</subject><subject>Retroperitoneal Fibrosis - therapy</subject><subject>steroids</subject><subject>tamoxifen</subject><subject>Tamoxifen - therapeutic use</subject><subject>Tomography, X-Ray Computed</subject><subject>Ureteral Obstruction - diagnosis</subject><subject>Ureteral Obstruction - etiology</subject><subject>Ureteral Obstruction - surgery</subject><subject>Ureterostomy - methods</subject><issn>0919-8172</issn><issn>1442-2042</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMFu3CAURVHVqJlM-wsVq-zsAnaMvegiGjXpRCNlk6zRMzxSRrZxwdPO_H1wPGq3YQPSPfc9dAihnOU8nW_7nJelyAQrRS4Yq3LGRc3z4wey-hd8JCvW8CaruRSX5CrGPWO8ELz-RC55VZVFJeoV8Rvft25AQ-MhvDgNHXXDhOEPDpPzA4XB0B7NW9DDAC_YpyQxFKiGiNRbCtNpXJrG-RGmX07TgFPwIwY3-QFTZF0bfHTxM7mw0EX8cr7X5Pnux9PmZ7Z7vN9ubneZLgXjmblhoC0UVuhaQ2Mss4bVlplKaNuKQpasZVIASFnx0rRcQNMAFjfYSJmQYk2ul7lj8L8PGCfVu6ix62BAf4iqkg2XMglZk3oBdfpfDGjVGFwP4aQ4U7NstVezUzU7VbNs9SZbHVP163nHoU2O_hfPdhPwfQH-ug5P7x6stg_P86t4Bee3kD4</recordid><startdate>200603</startdate><enddate>200603</enddate><creator>SAHEED, MOHAMMED CS</creator><creator>GINILKUMAR, POOLERI</creator><creator>SANJEEVAN, KALAVAMPARA V</creator><creator>BHAT, SANJAY H</creator><general>Blackwell Publishing Asia</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200603</creationdate><title>Combined surgical intervention and medical management in a case of atypical idiopathic retroperitoneal fibrosis</title><author>SAHEED, MOHAMMED CS ; GINILKUMAR, POOLERI ; SANJEEVAN, KALAVAMPARA V ; BHAT, SANJAY H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4201-d50acfa3f2c8ca9df0fd08f0d62cfb23740b072aa77614db12a99ae35e9772cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Antineoplastic Agents, Hormonal - therapeutic use</topic><topic>Biopsy</topic><topic>Diagnosis, Differential</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Laparotomy - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>retroperitoneal fibrosis</topic><topic>Retroperitoneal Fibrosis - complications</topic><topic>Retroperitoneal Fibrosis - diagnosis</topic><topic>Retroperitoneal Fibrosis - therapy</topic><topic>steroids</topic><topic>tamoxifen</topic><topic>Tamoxifen - therapeutic use</topic><topic>Tomography, X-Ray Computed</topic><topic>Ureteral Obstruction - diagnosis</topic><topic>Ureteral Obstruction - etiology</topic><topic>Ureteral Obstruction - surgery</topic><topic>Ureterostomy - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SAHEED, MOHAMMED CS</creatorcontrib><creatorcontrib>GINILKUMAR, POOLERI</creatorcontrib><creatorcontrib>SANJEEVAN, KALAVAMPARA V</creatorcontrib><creatorcontrib>BHAT, SANJAY H</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SAHEED, MOHAMMED CS</au><au>GINILKUMAR, POOLERI</au><au>SANJEEVAN, KALAVAMPARA V</au><au>BHAT, SANJAY H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Combined surgical intervention and medical management in a case of atypical idiopathic retroperitoneal fibrosis</atitle><jtitle>International journal of urology</jtitle><addtitle>Int J Urol</addtitle><date>2006-03</date><risdate>2006</risdate><volume>13</volume><issue>3</issue><spage>291</spage><epage>293</epage><pages>291-293</pages><issn>0919-8172</issn><eissn>1442-2042</eissn><abstract>Idiopathic retroperitoneal fibrosis (RPF) is one of the causes of obstructive uropathy. 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| fulltext | fulltext |
| identifier | ISSN: 0919-8172 |
| ispartof | International journal of urology, 2006-03, Vol.13 (3), p.291-293 |
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| language | eng |
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| subjects | Antineoplastic Agents, Hormonal - therapeutic use Biopsy Diagnosis, Differential Follow-Up Studies Humans Laparotomy - methods Male Middle Aged retroperitoneal fibrosis Retroperitoneal Fibrosis - complications Retroperitoneal Fibrosis - diagnosis Retroperitoneal Fibrosis - therapy steroids tamoxifen Tamoxifen - therapeutic use Tomography, X-Ray Computed Ureteral Obstruction - diagnosis Ureteral Obstruction - etiology Ureteral Obstruction - surgery Ureterostomy - methods |
| title | Combined surgical intervention and medical management in a case of atypical idiopathic retroperitoneal fibrosis |
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