Retroperitoneal fibrosis

Case contributed by Dr. Ekaterina Peshevich

Presentation

Admitted for the purpose of surgical treatment of hernia. During surgery, 3 litres of fluid was removed and the surgeon saw a retroperitoneal mass of fibrous tissue.

Patient Data

Age: 80 years old
Gender: Female
CT

Mantle of soft tissue encansing aorta, inferior vena cava and ureters, with caudal extenson to the iliac vessels. The right kidney is also encased, with right hydronephrosis. Avid contrast enhancement. 

Case Discussion

The findings are consistent with "malignant" retroperitoneal fibrosis, and must be differentiated from retroperitoneal metastasis, lymphoma, aortitis, and retroperitoneal haemorrhage.

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Case information

rID: 49894
Case created: 8th Dec 2016
Last edited: 1st Jan 2017
Inclusion in quiz mode: Included

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