Obadia J F, Giuliano F, Brenot R, Raoux M H, David M
Service de Chirurgie Cardio-Vasculaire et Angiologie, Hôpital du Bocage, Université de Bourgogne, Dijon.
Ann Urol (Paris). 1990;24(6):485-7.
The authors report a case of a perianeurysmal retroperitoneal fibrosis (RPF) with oligoanuric renal failure. A complete assessment was performed with computed tomography. Bilateral ureteral catheterization restored normal renal function and allowed surgical treatment to be performed including an aorto-iliac replacement and a bilateral ureterolysis with intra-peritoneal diversion of the ureter. A review of the literature revealed 15 similar cases. Pathophysiology and treatment of the retroperitoneal peri-aneurysmal fibrosis are discussed.
作者报告了一例伴有少尿性肾衰竭的动脉瘤周围腹膜后纤维化(RPF)病例。通过计算机断层扫描进行了全面评估。双侧输尿管插管恢复了正常肾功能,并允许进行手术治疗,包括主动脉-髂动脉置换和双侧输尿管松解术并将输尿管腹腔内改道。文献回顾发现了15例类似病例。本文讨论了腹膜后动脉瘤周围纤维化的病理生理学和治疗方法。