表现为急性肾衰竭的腹膜后纤维化。
Retroperitoneal fibrosis presenting as acute renal failure.
作者信息
Reilly Robert F
机构信息
University of Texas Southwestern Medical Center, Dallas, TX, USA.
出版信息
Nat Clin Pract Nephrol. 2005 Nov;1(1):55-9; quiz, 1 p following 59. doi: 10.1038/ncpneph0023.
BACKGROUND
A 60-year-old man with a history of atherosclerotic disease of the carotid and coronary vasculature presented with lower back pain and acute renal failure. Imaging studies revealed bilateral ureteral obstruction by a large retroperitoneal mass.
INVESTIGATIONS
Physical examination, urine and blood analysis, catheterization, radiography of the chest, abdominal and pelvic CT, magnetic resonance angiography, renal ultrasound and biopsy of mass.
DIAGNOSIS
Retroperitoneal fibrosis.
MANAGEMENT
Ureteral stenting, laparoscopic ureterolysis, and immunosuppressive therapy with prednisone and mycophenolate mofetil.
背景
一名60岁男性，有颈动脉和冠状动脉粥样硬化疾病史，出现下背部疼痛和急性肾衰竭。影像学检查显示双侧输尿管被一个巨大的腹膜后肿块阻塞。
检查
体格检查、尿液和血液分析、插管、胸部X线检查、腹部和盆腔CT、磁共振血管造影、肾脏超声检查以及肿块活检。
诊断
腹膜后纤维化。
治疗
输尿管支架置入、腹腔镜输尿管松解术以及使用泼尼松和霉酚酸酯进行免疫抑制治疗。
Zotero 插件