Post traumatic retroperitoneal fibrosis as a cause of low-back pain

  • A.M. Hidalgo-Ovejero SERVICIO NAVARRO DE SALUD
  • M. Rivero-Marcotegui SERVICIO NAVARRO DE SALUD
  • S. García-Mata SERVICIO NAVARRO DE SALUD
  • G. Jiménez-López de Oñate SERVICIO NAVARRA DE SALUD
  • M. Montesino-Semper SERVICIO NAVARRO DE SALUD
  • S. Ostíz-Zubieta SERVICIO NAVARRO DE SALUD
Palabras clave: Retroperitoneal fibrosis. Low-back pain. Trauma. Glucocorticoids.

Resumen

We present the case of a male patient with post traumatic retroperitoneal fibrosis whose main clinical expression was low-back pain. Diagnosis was established using CAT-scan and MRI, which revealed a large mass of soft tissue that almost entirely enveloped the abdominal aorta. Treatment with 40 mg of prednisone every 24 hours was established. This dose was reduced gradually, and progressive remission of clinical signs and symptoms was achieved, with a significant improvement of subsequent imaging-test results. Treatment was continued for one year. Two and a half years later the patient remains symptom-free, with no recurrence of his condition.
Publicado
2012-01-10
Sección
Notas clínicas