Inoue T, Shimoda N, Horikawa Y, Tachiki Y, Satoh S, Habuchi T, Kato T
Department of Urology, Akita University School of Medicine.
Hinyokika Kiyo. 2001 May;47(5):321-4.
A 73-year-old man presented with acute renal failure due to bilateral hydronephroses. Urography and CT scan revealed stenosis and medial deviation of the bilateral ureters surrounded by a soft tissue mass at the level of the 4-5th lumber vertebrae. Under a diagnosis of retroperitoneal fibrosis, bilateral nephrostomies were temporarily placed and prednisolone administration was initiated at a dose of 20 mg/day. Ureteral passage markedly improved within 2 weeks in association with a decrease in size of the retroperitoneal soft tissue mass. The steroid therapy was continued for 4 months with decreasing dosing schedule. The patient has been doing well without any signs of recurrence for 3 months after the cessation of the steroid therapy.
一名73岁男性因双侧肾盂积水出现急性肾衰竭。尿路造影和CT扫描显示，在第4 - 5腰椎水平，双侧输尿管狭窄并向内侧移位，周围有软组织肿块。在诊断为腹膜后纤维化后，暂时进行了双侧肾造瘘术，并开始以20毫克/天的剂量给予泼尼松龙。2周内输尿管通畅情况明显改善，同时腹膜后软组织肿块尺寸减小。类固醇治疗持续4个月，剂量逐渐减少。在停止类固醇治疗3个月后，患者情况良好，无任何复发迹象。
