Post traumatic retroperitoneal fibrosis as a cause of low-back pain
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.Descargas
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1. VAN BOMMEL EF, JANSEN I, HENDRIKSZ TR, AARNOUDSE AL. Idiopathic retroperitoneal fibrosis: prospective evaluation of incidence and clinicoradiologic presentation. Medicine (Baltimore) 2009; 88: 193-201.
https://doi.org/10.1097/MD.0b013e3181afc420
2. ONUIGBO M, LAWRENCE K, PARK S. Retroperitoneal fibrosis: unusual cause of low back pain. South Med J 2001; 94: 735-737.
https://doi.org/10.1097/00007611-200194070-00023
3. NEMEC P, RYBNICKOVA S, FABIAN P, FOJTIK Z, SOUCEK M. Idiopathic retroperitoneal fibrosis: an unusual cause of low back pain. Clin Rheumatol 2008; 27: 381-384.
https://doi.org/10.1007/s10067-007-0736-5
4. BLANC G, GIRARD N, ALEXANDRE C, VIGNON E. Retroperitoneal fibrosis: a rare vascular and immune entity disclosed by chronic lombalgia. Joint Bone Spine 2007; 74: 497-499.
https://doi.org/10.1016/j.jbspin.2006.12.005
5. OWENS D, JOHNSTON D, BARUA J, WICKS S, CHAKRAVARTY K. An unusual cause of back pain. J Clin Rheumatol 2006; 12: 41-42.
https://doi.org/10.1097/01.rhu.0000200327.26326.82
6. DORADO-BOUIX L, MILLAN-TORNE M, CAPELLADES-FONT J, GOMA-GALLEGO M, OLIVE A. Sindrome de compresion medular: una rara forma de presentación de la fibrosis retroperitoneal. Rev Neurol 2004; 39: 1143-1145.
https://doi.org/10.33588/rn.3912.2004293
7. VAN BOMMEL EF. Retroperitoneal fibrosis. Neth J Med 2002; 60: 231-242.
8. SARRAMON JP, DURAND D, LAZORTHES F, THAT HT, SUC JM. [An accident related to a seat belt. Lymphocoele and extrinsic stenosis of the ureter in a transplant patient. Reparative surgery (author's transl)]. J Urol Nephrol (Paris) 1976; 82: 601-605.
9. MARTÍNEZ BENGOECHEA J, MÍNGUEZ PEMÁN J, ALLEPUZ LOSA C, GONZÁLEZ ENGUITA C, RIOJA SANZ C, RIOJA SANZ LA. Fibrosis retroperitoneal por hematoma perirrenal extenso. Arch Esp Urol 1990; 43: 1007-1009.
10. RAO MS, BAPNA BC, VAIDYANATHAN S. Ureteral and periureteral fibrosis as delayed sequelae to lower urinary tract injury. J Urol 1975; 113: 610-613.
https://doi.org/10.1016/S0022-5347(17)59534-8
11. AMIS ES, JR. Retroperitoneal fibrosis. AJR Am J Roentgenol 1991; 157: 321-329.
https://doi.org/10.2214/ajr.157.2.1853816
12. VAGLIO A, PALMISANO A, FERRETTI S, ALBERICI F, CASAZZA I, SALVARANI C et al. Peripheral inflammatory arthritis in patients with chronic periaortitis: report of five cases and review of the literature. Rheumatology (Oxford) 2008; 47: 315-318.
https://doi.org/10.1093/rheumatology/kem328
13. CORDONE RP, BRANDEIS SZ, RICHMAN H. Rectal perforation during barium enema. Report of a case. Dis Colon Rectum 1988; 31: 563-569.
https://doi.org/10.1007/BF02553733
14. AKBAL C, TANIDIR Y, OZGEN MB, SIMSEK F. Erectile dysfunction and Peyronie's disease in patient with retroperitoenal fibrosis. Int Urol Nephrol 2008; 40: 971-975.
https://doi.org/10.1007/s11255-008-9381-4
15. CHIN GK, MCGONIGLE RJ. Non-surgical cause of hydronephrosis: retroperitoneal fibrosis. Intern Med J 2007; 37: 136-137.
https://doi.org/10.1111/j.1445-5994.2007.01249.x
16. MARTINS PN, GLANEMANN M, KOELBLE K, WEIDEMANN H, NEUHAUS P. Ileus due to severe aggravation of retroperitoneal fibrosis after sigmoidectomy. Int J Colorectal Dis 2008; 23: 217-218.
https://doi.org/10.1007/s00384-007-0311-1
17. HOULE BJ, ELLWOOD RA. Retroperitoneal fibrosis from aortic aneurysm causing vena cava obstruction: a case report. Angiology 1982; 33: 64-66.
https://doi.org/10.1177/000331978203300109
18. DE SA J, PIMENTEL J, CARVALHO M, EVANGELISTA P, MARTINS P. Spinal cord compression secondary to idiopathic retroperitoneal fibrosis. Neurosurgery 1990; 26: 678-681.
https://doi.org/10.1227/00006123-199004000-00020
19. DAS D, BRIGG J, BROWN CM. Hypertensive encephalopathy in a patient with retroperitoneal fibrosis. Postgrad Med J 1999; 75: 730-731.
https://doi.org/10.1136/pgmj.75.890.730
20. YOUNG PM, PETERSON JJ, CALAMIA KT. Hypermetabolic activity in patients with active retroperitoneal fibrosis on F-18 FDG PET: report of three cases. Ann Nucl Med 2008; 22: 87-92.
https://doi.org/10.1007/s12149-007-0077-0
21. JANSEN I, HENDRIKSZ TR, HAN SH, HUISKES AW, VAN BOMMEL EF. (18)F-fluorodeoxyglucose position emission tomography (FDG-PET) for monitoring disease activity and treatment response in idiopathic retroperitoneal fibrosis. Eur J Intern Med 2010; 21: 216-221.
https://doi.org/10.1016/j.ejim.2010.02.008
22. GEOGHEGAN T, BYRNE AT, BENFAYED W, MCAULEY G, TORREGGIANI WC. Imaging and intervention of retroperitoneal fibrosis. Australas Radiol 2007; 51: 26-34.
https://doi.org/10.1111/j.1440-1673.2006.01654.x
23. VAN BOMMEL EF, SIEMES C, HAK LE, VAN DER VEER SJ, HENDRIKSZ TR. Long-term renal and patient outcome in idiopathic retroperitoneal fibrosis treated with prednisone. Am J Kidney Dis 2007; 49: 615-625.
https://doi.org/10.1053/j.ajkd.2007.02.268
24. MAILLART E, LAUERIERE L, KASSIS S, MOULONGUET-DOLERIS L, PRINSEAU J, BAGLIN A et al. [Is there an evidence-based management of idiopathic retroperitoneal fibrosis?]. Rev Med Interne 2006; 27: 854-857.
https://doi.org/10.1016/j.revmed.2006.04.022
25. VAGLIO A, PALMISANO A, CORRADI D, SALVARANI C, BUZIO C. Retroperitoneal fibrosis: evolving concepts. Rheum Dis Clin North Am 2007; 33: 803-817, vi-vii.
https://doi.org/10.1016/j.rdc.2007.07.013
26. SWARTZ RD, LAKE AM, ROBERTS WW, FAERBER GJ, JR JS. Idiopathic retroperitoneal fibrosis: a role for mycophenolate mofetil. Clin Nephrol 2008; 69: 260-268.
https://doi.org/10.5414/CNP69260
27. SRINIVASAN AK, RICHSTONE L, PERMPONGKOSOL S, KAVOUSSI LR. Comparison of laparoscopic with open approach for ureterolysis in patients with retroperitoneal fibrosis. J Urol 2008; 179:1875-1878.
https://doi.org/10.1016/j.juro.2008.01.030
28. FRY AC, SINGH S, GUNDA SS, BOUSTEAD GB, HANBURY DC, MCNICHOLAS TA et al. Successful use of steroids and ureteric stents in 24 patients with idiopathic retroperitoneal fibrosis: a retrospective study. Nephron Clin Pract 2008; 108: c213-220.
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