Retroperitoneal fibrosis

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Abdominal pain with mild fever. The ultrasound exam revealed a soft tissue mass around the aorta (aneurysm ? other ?). CT angiography was requested.

Patient Data

Age: 65 years
Gender: Male
ct

Soft tissue mass encasing the infrarenal aorta and partially the IVC, extending to the aortic bifurcation. No aneurysmal dilatation of the abdominal aorta. No hydronephrosis.

Two small simple hepatic cysts in segments 4a and 2 (known).

Case Discussion

CT features of retroperitoneal fibrosis. No cause was found in this case.

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