[Retroperitoneal fibrosis: about 12 cases].
Pan Afr Med J. 2017;28:194
Authors: Majdoub AE, Khallouk A, Farih MH
Retroperitoneal fibrosis (RPF) is uncommon. It’s characterised by the gradual transformation of retroperitoneal adipose tissue right into a fibrous mass surrounding the aorta, the inferior vena cava and the urinary tract chargeable for progressive alteration within the renal operate. It often manifests as lumbar ache related to renal failure and biologic inflammatory syndrome. We report 12 instances of retroperitoneal fibrosis with a purpose to decide its medical, radiological and therapeutic options. We carried out a retrospective research of 12 sufferers with retroperitoneal fibrosis whose medical information had been collected within the Departement of Urology on the College Hospital Hassan II, Fes over a interval of 9 years (2005-2013). The research concerned ten males and two ladies. Medical symptomatology was very variable, dominated by lumbar ache in all sufferers and hydrocele in 1 affected person. Laboratory exams confirmed renal failure in all sufferers and inflammatory syndrome in 10 sufferers. The prognosis of retroperitoneal fibrosis was suspected in all sufferers on ultrasound displaying obstruction of the higher urinary tract with out seen impediment. The prognosis was confirmed by stomach CT scan with out distinction that objectified a retroperitoneal tissue lesion enveloping the vessels and the urinary tract. 9 sufferers had idiopathic retroperitoneal fibrosis. Two sufferers had perianeurysmal fibrosis and one affected person had post-radiation fibrosis. All sufferers underwent urinary drainage by double J. ureteral catheter. Seven sufferers underwent corticosteroid remedy. Six sufferers had an enchancment of medical and laboratory check final result with disappearance of ache and enchancment of the final situation. This research confirms the rarity of retroperitoneal fibrosis, the problem of prognosis, ache related to inflammatory syndrome and renal failure as widespread manifestations. Belly CT scan with out distinction is the gold commonplace for definitive prognosis. Urinary drainage is important normally in addition to common monitoring of sufferers.
PMID: 29610632 [PubMed – indexed for MEDLINE]