Retroperitoneal fibrosis

Case contributed by Dr Tim Luijkx

Presentation

Presentation with bilateral hydronephrosis and impaired renal function.

Patient Data

Age: 60 years
Gender: Female
CT

CT IVP

Retroperitoneal mass surrounding, but not displacing, the aorta and part of the inferior vena cava with possible medialisation of the ureters due to fibrotic traction.

Case Discussion

Ultrasound examination by urologist showed bilateral hydronephrosis leading to a request for nephrostomy placement by interventional radiologist on one side followed by the contralateral side 2 days later.

Follow-up CT showed an obstructing mass surround the aorta, which was not displaced anteriorly by the mass. Together with possible medialisation of the ureters due to traction this is typical of retroperitoneal fibrosis.

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Case information

rID: 30663
Case created: 26th Aug 2014
Last edited: 21st Sep 2016
Inclusion in quiz mode: Included

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