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[Retroperitoneal fibrosis: a rare cause of postrenal kidney failure, no to be missed]

Author(s): Hemett OM, Tschopp JM, Meier P, Uldry PY, Abbet P

Affiliation(s): Departement de medecine interne, Centre hospitalier du centre du Valais (CHCVs), Hopital de Sion, Avenue Grand Champsec 80, 1950 Sion.

Publication date & source: 2009-11-11, Rev Med Suisse., 5(225):2264-6, 2268-70.

Publication type: Case Reports; Comparative Study; English Abstract; Review

We report the observation of a fifty years old man, admitted in the emergency room for bilateral lumbar pain and hyperkaliemic metabolic acidosis, and postrenal kidney failure induced by bilateral hydronephrosis. Radiographic exploration and histologic studies of biopsy confirmed an idiopathic retroperitoneal fibrosis that clinically and biologicaly responded to three seances of hemodialysis, and insertion in each uretere of one double J stent, and long term corticotherapy. The retroperitoneal fibrosis is a little common inflammatory disease, characterized by the development of a fibrous mass around the retroperitoneal structures. His diagnostic means evolved. On the other hand, his treatment was the object of no checked controlled and randomized trial. This article proposes an updating of the knowledge on this subject.

Page last updated: 2010-10-05

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