The Successful Treatment of Obstructive Uropathy Caused By Retroperitoneal Fibrosis with Steroids in the Latent Tuberculosis Case

2015 ◽  
Vol 2 (1) ◽  
pp. 5-9
Author(s):  
Yasemin Soyoral ◽  
Bulent Ozbay ◽  
Huseyin Begenik ◽  
Mehmet Naci Aldemir ◽  
Reha Erkoc ◽  
...  
Keyword(s):  
Successful Treatment ◽  
Retroperitoneal Fibrosis ◽  
Obstructive Uropathy ◽  
Latent Tuberculosis ◽  
Tuberculosis Case

scholarly journals Non-inflammatory aortoiliac aneurysm with ureteral obstruction and consequent hydronephrosis: Case report

2012 ◽  
Vol 140 (1-2) ◽  
pp. 91-93
Author(s):  
Srdjan Babic ◽  
Djordje Radak ◽  
Predrag Matic ◽  
Vladimir Kovacevic ◽  
Dario Jocic
Keyword(s):  
Ureteral Obstruction ◽  
Retroperitoneal Fibrosis ◽  
Obstructive Uropathy ◽  
Elevated Serum ◽  
Multislice Ct ◽  
Domestic Literature ◽  
Aortoiliac Aneurysm ◽  
Ct Findings ◽  
Atherosclerotic Aneurysm ◽  
Vascular Status

Introduction. The natural course of abdominal aneurysms is progressive expansion, rupture, embolisation, thrombosis and compression of the visceral organs. The majority of papers report that inflammatory aortic and iliac aneurysms are associated with perianeurysmal and retroperitoneal fibrosis that ultimately results in the structural compromise of the urinary tract. Ureteral obstruction occurs in 20% to 71% of cases and approximately one half of these patients will present with obstructive uropathy. Most patients with inflammatory aneurysm are symptomatic, with elevated serum inflammatory markers, and characteristic multislice CT findings including a thickened aortic wall and a mass of periaortic inflammatory tissue. Case Outline. A 70-year-old man was admitted at the Vascular Surgery Clinic ?Dedinje?, Belgrade, because of ultrasonically verified asymptomatic aortoiliac aneurysm. Multisclice CT findings showed left urethral dilatation and hydronephrosis secondary to extrinsic ureteral obstruction due to aortoiliac aneurysm. CT findings, laboratory tests and finally, histopathologic examination showed atherosclerotic aneurysm without inflammation and retroperitoneal fibrosis. The patient was successfully treated with surgical resection of the aneurysm and aortobiiliac reconstruction with ?Y? prosthesis. Conclusion. We present a rare case of ureteral obstruction secondary to atherosclerotic aneurysm which, to our knowledge, has not been previously described in the domestic literature. A successful operative repair was performed. Postoperative course was uneventful and the patient was discharged on the seventh day after the surgery with normal vascular status and renal function.

scholarly journals Risk factors for tuberculosis in contact investigations in Rotterdam, the Netherlands

2012 ◽  
Vol 4 (2) ◽  
pp. 26 ◽  
Author(s):  
Jesse Eduard Verdier ◽  
Sake Jan De Vlas ◽  
Inge D. Kidgell-Koppelaar ◽  
Jan Hendrik Richardus
Keyword(s):  
Risk Factors ◽  
The Netherlands ◽  
Old Age ◽  
Latent Tuberculosis ◽  
Index Patient ◽  
Active Tuberculosis ◽  
Tuberculosis Case ◽  
Tuberculosis Patients ◽  
The Public ◽  
Contact Investigations

Contact investigations around tuberculosis patients enable early detection of infection and disease, and prevention of secondary tuberculosis cases. We aim to identify risk factors for <em>M. tuberculosis </em>transmission to contacts of tuberculosis patients, based on unique data from routine contact investigations by the Public Health Service in Rotterdam, the Netherlands, collected between 2001 and 2006. Through logistic regression analysis, we determined the effect of various risk factors on the chance of finding a latent tuberculosis (TB) infection or overt tuberculosis case among contacts. A total of 1165 index patients with active tuberculosis were registered and at least one contact was investigated in 731, resulting in 21,540 contacts overall. Altogether, the contact investigations led to 91 cases of active tuberculosis. Of the 12,698 contacts eligible for screening by tuberculin skin test, 1091 (9%) were diagnosed with latent tuberculosis infections. Risk factors were old age of the contact, old age of the index patient, and the relationship to the index. A larger fraction of infected close contacts was strongly associated with infections among more distant contacts. Our findings emphasize the importance of including these personal and interpersonal risk factors in decision making in contact investigations.

scholarly journals IDIOPATHIC RETROPERITONEAL FIBROSIS: A RARE CAUSE OF ABDOMINAL PAIN AND OBSTRUCTIVE UROPATHY

CHEST Journal ◽  
2019 ◽  
Vol 156 (4) ◽  
pp. A1988-A1989
Author(s):  
Mariam Saeed ◽  
Muneer Khan ◽  
Moses Bachan ◽  
Zinobia Khan
Keyword(s):  
Abdominal Pain ◽  
Retroperitoneal Fibrosis ◽  
Obstructive Uropathy ◽  
Idiopathic Retroperitoneal Fibrosis

scholarly journals Ureteral Strangulation by Fibrosis: A Cold Case Report of Ormand's Disease

2011 ◽  
Vol 2011 ◽  
pp. 1-4
Author(s):  
Amarpreet Sandhu ◽  
Leslea Brickner ◽  
Mark Chen
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Retroperitoneal Fibrosis ◽  
Obstructive Uropathy ◽  
Laboratory Data ◽  
Signs And Symptoms ◽  
Final Diagnosis ◽  
Renal Ultrasound ◽  
Idiopathic Retroperitoneal Fibrosis ◽  
Acute And Chronic Inflammation

Retroperitoneal fibrosis or Ormand's disease is rare in incidence and clinically elusive to diagnosis until obstructive uropathy clinically manifests by the mechanism of ureteral fibrotic strangulation and acute renal failure. We encountered a 50-year-old woman with months of nonspecific abdominal pain and presented with signs and symptoms of acute renal failure. Laboratory data was significant for blood urea nitrogen 47 mg/dL and creatinine of 8.47 mg/dL. Renal ultrasound revealed bilateral hydronephrosis and an abdominal computed tomogram confirmed an abnormal soft tissue retroperitoneal confluence that encased the pelvic vessels. Urologic consultation was requested and bilateral ureteral stents were placed with relief of her obstructive uropathy. Five days after ureteral stenting her creatinine dropped to 1.64 mg/dL. One month later patient underwent ureterolysis with biopsy showing fibroblast proliferation consistent with acute and chronic inflammation. By ruling out infections and malignancy, the final diagnosis was made to be idiopathic retroperitoneal fibrosis.

scholarly journals Retroperitoneal Fibrosis: A Rare Cause of Acute Renal Failure

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Amaka Ezimora ◽  
Marquetta L. Faulkner ◽  
Oluwafisayo Adebiyi ◽  
Abimbola Ogungbemile ◽  
Salas-Vega Marianna ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Ct Scan ◽  
Retroperitoneal Fibrosis ◽  
Incidental Finding ◽  
Obstructive Uropathy ◽  
Urine Volume ◽  
Fine Needle Biopsy ◽  
Renal Ultrasound ◽  
Significant Past Medical History

Introduction. Retroperitoneal fibrosis is a rare cause of acute renal failure (ARF) with only a handful of cases reported in literature. We report a case of a 40-year-old male with an incidental finding of retroperitoneal fibrosis.Case Presentation. Patient is a 40-year-old African American male with no significant past medical history who presented with a four-month history of low back pain and associated nausea with vomiting. Physical examination was significant for elevated blood pressure at 169/107 mmhg and bilateral pedal edema. Significant admission laboratory include blood urea nitrogen (BUN) of 108 mg/dL, serum creatinine (Cr) of 23 mg/dL, bicarbonate of 19 mg/dL, and potassium of 6.2 mmL/L. Renal ultrasound showed bilateral hydronephrosis. Post-void residual urine volume was normal. Abdominopelvic CT scan showed retroperitoneal fibrosis confirmed with fine-needle biopsy. He was treated with a combination of bilateral ureteral stent placement, hemodialysis, and steroid therapy. Four months after hospital discharge, his BUN and Cr levels Improved to 18 mg/dL and 1.25 mg/dL, respectively.Conclusion. Retroperitoneal fibrosis should be considered as a differential diagnosis in patients with acute renal failure and obstructive uropathy. Abdominal CT scan is the examination of choice for diagnosis. Full resolution with treatment depends on the duration of obstruction.

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