Wang Weining, Wang Yanbo, Ma Xiaobo, Yu Haidong, Wang Chunxi
Department of Urology, Bethune First Hospital, Jilin University, Changchun 130021, China. E-mail:
Nan Fang Yi Ke Da Xue Xue Bao. 2014 Nov;34(11):1658-60.
A 51-year-old male patient was presented to our hospital for inspection of right renal space-occupying lesions. CT revealed soft tissue density in the right renal pelvis and renal pelvis ureter transitional crumb, for which a clinical diagnosis of right renal cancer was made. After laparoscopic radical resection of the right kidney, pathological examination supported the diagnosis of idiopathic retroperitoneal fibrosis. With an unclear pathogenesis, idiopathic retroperitoneal fibrosis presents with atypical clinical manifestations but shows specific features in imaging examination. Its treatment is individualized according to the specific condition for which conservative medical or surgical treatment can be considered. Retroperitoneal fibrosis has a low incidence and a high misdiagnosis rate, and imaging examinations remain currently the primary modality for diagnosis with specific findings.
一名51岁男性患者因右肾占位性病变来我院检查。CT显示右肾盂及肾盂输尿管移行部软组织密度影，临床诊断为右肾癌。行腹腔镜下右肾根治性切除术后，病理检查支持特发性腹膜后纤维化的诊断。特发性腹膜后纤维化发病机制不明，临床表现不典型，但影像学检查有特征性表现。其治疗需根据具体病情个体化，可考虑保守药物治疗或手术治疗。腹膜后纤维化发病率低，误诊率高，目前影像学检查仍是主要的诊断手段，有特异性表现。
