1,267 results match your criteria Retroperitoneal Fibrosis Imaging


Minimally invasive ureterolysis and intraperitonealization of ureter for idiopathic retroperitoneal fibrosis; single center analysis of an erratic disease.

Urologia 2022 Jun 22:3915603221104047. Epub 2022 Jun 22.

Department of Urology, Sir Ganga Ram Hospital, Delhi, India.

Introduction: Idiopathic retroperitoneal fibrosis is a known cause of obstructive uropathy. Ureterolysis is done when medical management fails or the presentation is at an advanced stage. Conventionally ureterolysis without omental wrap has been considered incomplete. Read More

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[Chronic Periaortitis].

Authors:
Mike Becker

Ther Umsch 2022 Jun;79(5):254-259

Klinik für Rheumatologie, Universitätsspital Zürich.

Chronic Periaortitis The term chronic periaortitis encompasses several fibroinflammatory diseases that manifest on or around the abdominal aorta which may be associated with aneurysm formation. Formerly distinct entities are grouped together, such as idiopathic retroperitoneal fibrosis (Ormond's disease), inflammatory aortic aneurysm, and perianeurysmal retroperitoneal fibrosis. They may also occur IgG4-related. Read More

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Psoas hitch procedure in 166 adult patients: The largest cohort study before the laparoscopic era.

BJUI Compass 2021 Sep 6;2(5):331-337. Epub 2021 Apr 6.

Department of Urology University Medical Centre Utrecht Utrecht The Netherlands.

Objectives: To present the short-term and long-term outcomes of the psoas hitch procedure in a large cohort with long-term follow-up.

Patients And Methods: A multicenter, retrospective cohort study was conducted. Patients were included if they had undergone an open psoas hitch procedure with ureteral reimplantation for different types of distal ureteral pathology between 1993 and 2017. Read More

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September 2021

Thinking Beyond Acute Kidney Injury.

Case Rep Nephrol Dial 2022 Jan-Apr;12(1):16-21. Epub 2022 Mar 10.

Division of Nephrology, Department of Medicine, University of South Alabama, Mobile, Alabama, USA.

Acute kidney injury (AKI) can be a significant clue to solving a puzzling patient presentation. Postrenal AKI should be suspected if imaging shows any degree of hydronephrosis and can be caused by a variety of conditions. Diagnosis of urinary obstruction without significant dilatation of the pelvic-ureteral system requires a higher degree of suspicion, and hence, its identification can become late. Read More

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Overlooked issues in inferior vena cava reconstruction for deep venous thrombosis and retroperitoneal fibrosis.

J Vasc Surg Venous Lymphat Disord 2022 05;10(3):797

Cardiovascular Surgery İstanbul Medeniyet University Faculty of Medicine Göztepe Prof. Dr. Süleyman Yalçın City Hospital Istanbul, Türkiye.

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A 61-Year-Old Woman Presenting with Low Back Pain Diagnosed with IgG4-Related Disease Affecting the Thoracoabdominal Aorta and Retroperitoneum.

Am J Case Rep 2022 Apr 15;23:e935007. Epub 2022 Apr 15.

Department of Nuclear Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, South Korea.

BACKGROUND Immunoglobulin G4-related disease (IgG4-RD) includes several immune-mediated fibro-inflammatory conditions affecting multiple organs. Increased IgG4 serum levels support the diagnosis of IgG4-RD and characteristic histopathology of fibrous infiltrates or masses containing IgG4-positive plasma cells. We present the case of a 61-year-old woman with low back pain who was diagnosed with IgG4-RD involving the thoracoabdominal aorta and retroperitoneum. Read More

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When idiopathic retroperitoneal fibrosis mimics Castleman disease: a challenging differential diagnosis.

BMJ Case Rep 2022 04 7;15(4). Epub 2022 Apr 7.

Pathology Unit, Azienda Ospedaliera Santa Maria di Terni, University of Perugia, Terni, Italy.

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Comprehensive assessment and outcomes of patients with chronic periaortitis.

Clin Exp Rheumatol 2022 May 18;40(4):801-810. Epub 2022 Mar 18.

Division of Rheumatology, Department of Internal Medicine, Hacettepe University School of Medicine, Ankara, and Hacettepe Universitiy Vasculitis Research Center (HUVAC), Hacettepe University, Ankara, Turkey.

Objectives: Chronic periaortitis (CP) is a less known but more frequently diagnosed fibro-inflammatory disorder, but we know little about it and data regarding follow-up and outcome are still very limited. This study aims to identify the clinicopathologic, laboratory, and radiologic features, as well as outcomes of CP patients.

Methods: Patients with CP from HUVAC database were included in the study. Read More

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Spontaneous ureteric rupture due to high pressure chronic retention.

JRSM Open 2022 Mar 9;13(3):20542704221077556. Epub 2022 Mar 9.

Department of Urology, Princess Royal University Hospital, King's College Hospital NHS Foundation Trust, Farnborough Common, Orpington BR6 8ND, UK.

Spontaneous ureteric rupture is a rare phenomenon which can be traumatic or non-traumatic that may arise from ureteric obstruction, trauma, mucosal inflammation from urolithiasis, connective tissue disease or retroperitoneal fibrosis. High pressure chronic retention is characterised by noctural enuresis, a tense palpable bladder, hypertension, progressive renal impairment, bilateral hydronephrosis and hydroureter on imaging. Obstructive urological symptoms are typically absent in uncomplicated cases. Read More

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Deep Pelvic Side Wall Anatomy: A Case of Laparoscopic Management of Vaginal Vault Fistula to the Presacral Area.

J Minim Invasive Gynecol 2022 05 2;29(5):583. Epub 2022 Mar 2.

From the Departments of Obstetrics and Gynecology (Dr. Namazi), Minimally Invasive Gynecology (Drs. Gupta and Einarsson), Brigham and Women's Hospital, Boston, Massachusetts.

Study Objective: Video presentation showing retroperitoneal dissection and deep pelvic side wall anatomy [1-3].

Design: Case presentation with showing anatomic structures in detail.

Setting: Tertiary academic teaching hospital. Read More

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Performance characteristics of F-fluciclovine positron emission tomography/computed tomography prior to retroperitoneal lymph node dissection.

Can Urol Assoc J 2022 Mar;16(3):E167-E172

Department of Urology, UT Southwestern Medical Center, Dallas, TX, United States.

Introduction: We aimed to determine whether anti-1-amino-3-F-fluorocyclobutane-1-carboxylic acid (F-fluciclovine) positron emission tomography/computed tomography (PET/CT) can accurately detect residual non-seminomatous germ cell tumor (NSGCT) prior to retroperitoneal lymph node dissection (RPLND). There is no reliable way to differentiate between fibrosis/necrosis, teratoma, and viable germ cell tumor in patients receiving post-chemotherapy RPLND. Functional imaging, including F-fludeoxyglucose (18F-FDG) PET/CT, has been disappointing. Read More

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Intracoronary IgG4-related disease as an unusual cause of sudden cardiac arrest: a case series.

Eur Heart J Case Rep 2022 Feb 3;6(2):ytac050. Epub 2022 Feb 3.

Department of Cardiology, Baker Heart and Diabetes Institute, 75 Commercial Road, Prahran, VIC 3181, Australia.

Background: IgG4-related disease (IgG4-RD) is a fibro-inflammatory condition classically causing retroperitoneal fibrosis, aortitis, thyroiditis, or pancreatitis. Diagnosis includes the presence of lymphoplasmacytic infiltrate (with >40% ratio IgG4+:IgG plasma cells) and fibrosis. Cardiac involvement may include aortic, pericardial, or coronary disease. Read More

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February 2022

Idiopathic retroperitoneal fibrosis mimicking infiltrative malignancy: a case report.

J Int Med Res 2022 Feb;50(2):3000605221079769

Department of Gastroenterological Surgery, 13600Toranomon Hospital, Toranomon Hospital, Tokyo, Japan.

The treatment strategy for an idiopathic retroperitoneal mass has not yet been established. Additionally, differentiating between benign and malignant is a challenge. Herein, we report a case in which we performed partial resection of a mass in a symptomatic patient with idiopathic retroperitoneal fibrosis that mimicked malignancy. Read More

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February 2022

Imatinib-induced retroperitoneal fibrosis in a child with chronic myeloid leukemia: a case report.

Am J Blood Res 2021 15;11(6):600-604. Epub 2021 Dec 15.

Tata Memorial Centre, Homi Bhaba National Instituite Mumbai, India.

A 12 year old boy with chronic myeloid leukemia (CML) presenting with bilateral pitting pedal edema and abdominal distension after about 41 months of imatinib therapy and was diagnosed to have retroperitoneal fibrosis (RPF) based on imaging and biopsy findings. He was found to have bilateral hydroureteronephrosis needing double-J stenting to the more severely affected right ureter. Imatinib was briefly interrupted and restarted later due to rising transcript levels and unavailability of other alternatives at that time which was later substituted by dasatinib once generic versions became available. Read More

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December 2021

Vascular thromboses with retroperitoneal fibrosis: a case report.

J Med Case Rep 2022 Jan 26;16(1):47. Epub 2022 Jan 26.

Radiology Department, Faculty of Medicine and Pharmacy, Mohamed V University, Ibn Sina Hospital, Rabat, Morocco.

Background: Granulomatosis with polyangiitis is a systemic inflammatory disease characterized by necrotizing vasculitis that affects small- and medium-sized blood vessels. Granulomatous inflammation affects the lungs, ears, nose, and throat, and commonly affects the kidneys, although the retroperitoneal tissue is rarely affected. Several studies have reported an increased risk of venous thromboembolism. Read More

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January 2022

Retroperitoneal Fibrosis Is Still an Underdiagnosed Entity with Poor Prognosis.

Kidney Blood Press Res 2022 10;47(3):151-162. Epub 2021 Dec 10.

Department of Nephrology, Dialysis and Internal Diseases, Medical University of Warsaw, Warsaw, Poland.

Background: Retroperitoneal fibrosis (RPF) is a rare disease characterized by the presence of inflammatory and fibrous retroperitoneal tissue that often encircles abdominal organs including the aorta and ureters. Data on the incidence of this disease are limited.

Summary: The disease may be idiopathic or secondary to infections, malignancies, drugs, or radiotherapy. Read More

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Retroperitoneal fibrosis masquerading as pelvi-ureteric junction obstruction - Laparoscopic management.

Int J Surg Case Rep 2022 Jan 3;90:106652. Epub 2021 Dec 3.

Department of Urology, Dr L H Hiranandani Hospital, Powai, Mumbai 400076, India.

Introduction: Retroperitoneal fibrosis (RPF) is a rare fibro-inflammatory condition which is characterized by development of extensive fibrosis throughout the retroperitoneum. It is classically centred over the anterior surface of the fourth and fifth lumbar vertebrae. It results in entrapment and extrinsic compression of retroperitoneal structures. Read More

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January 2022

Abdominal aortic diameter and cardiovascular status in patients with idiopathic retroperitoneal fibrosis.

Rheumatol Int 2022 07 25;42(7):1167-1175. Epub 2021 Nov 25.

Department of Internal Medicine/Dutch National Center of Expertise Retroperitoneal Fibrosis, Albert Schweitzer Hospital, PO Box 444, 3300 AK, Dordrecht, The Netherlands.

Although much debated, an exaggerated inflammatory response to advanced atherosclerosis has been implicated in the pathogenesis of idiopathic retroperitoneal fibrosis (RPF). Clinical presentation, infrarenal abdominal aortic diameter and RPF mass thickness were retrospectively analyzed in 166 patients with idiopathic RPF seen at our referral center between April 1998 and December 2019. Patients were stratified to their infrarenal abdominal aortic diameter at presentation (i. Read More

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Idiopathic retroperitoneal fibrosis: clinical features, treatment modalities, relapse rate in Greek patients and a review of the literature.

Clin Exp Rheumatol 2021 11 11. Epub 2021 Nov 11.

Academy of Athens, Greece.

Objectives: Retroperitoneal fibrosis (RPF) is mostly idiopathic (iRPF); however, it can be secondary to drugs, malignancies, infections, or, as recently recognised, can be part of the IgG4-related diseases. The aim of our study was i) to describe the presenting clinical/laboratory/imaging features and treatment modalities used in patients with iRPF and ii) to evaluate factors potentially associated with disease relapse.

Methods: The medical records of patients diagnosed with iRPF and followed in four tertiary medical units in Athens, Greece from 2000 to 2018 were retrospectively evaluated. Read More

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November 2021

The Use of Systematic Clinical Approach in Diagnosing Rare Cases of Secondary Hypertension: A Case Report of Mid Aortic Syndrome in a Young Patient.

Cureus 2021 Nov 2;13(11):e19215. Epub 2021 Nov 2.

Trauma and Surgical Critical Care, University of Florida College of Medicine, Gainesville, USA.

Mid aortic syndrome (MAS) is a rare disease that occurs in children and young adults. The most important clinical feature reflecting vascular involvement is the presence of systemic hypertension. The diagnosis is usually made during the imaging assessment of secondary hypertension when routine echocardiography fails to identify the characteristic morphological or Doppler flow patterns associated with thoracic arch coarctation in the presence of the clinical features of aortic vascular obstruction. Read More

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November 2021

Erdheim-Chester disease presenting as an intracardiac mass and pericardial effusion confirmed by biopsy: a case report.

Eur Heart J Case Rep 2021 Oct 7;5(10):ytab351. Epub 2021 Sep 7.

Division of Cardiology, Department of Internal Medicine, Severance Cardiovascular Hospital, Yonsei University College of Medicine, 50-1, Yonsei-Ro, Seodaemun-gu, Seoul 03722, Republic of Korea.

Background: Erdheim-Chester disease (ECD) is a rare non-Langerhans cell histiocytosis that can affect the bones, heart, lungs, brain, and other organs. Cardiovascular involvement is common in ECD and is associated with a poor prognosis. Here, we report a case of ECD presenting as an intracardiac mass and pericardial effusion confirmed by biopsy with sternotomy. Read More

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October 2021

An Interesting Case of Immunoglobulin G4-Related Retroperitoneal Fibrosis Treated With Rituximab.

Cureus 2021 Sep 13;13(9):e17940. Epub 2021 Sep 13.

Rheumatology, Texas Tech University Health Sciences Center, Odessa, USA.

Immunoglobulin G4-related disease (IgG4-RD) is a fibroinflammatory condition. Its common manifestations include type I autoimmune pancreatitis and retroperitoneal fibrosis (RPF). We present a rare case involving a 43-year-old female who presented with left lower quadrant (LLQ) pain. Read More

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September 2021

Idiopathic Aortitis With Retroperitoneal Fibrosis Course and Its Treatment.

Cureus 2021 Aug 22;13(8):e17366. Epub 2021 Aug 22.

Vascular Surgery, Crozer-Chester Medical Center, Upland, USA.

Aortitis is an inflammatory phenomenon involving one or more layers of the aorta and can have infectious or noninfectious etiologies. Complications of aortitis include aneurysm, dissection, and rupture, which can lead to ischemic organs and ultimately death. Noninfectious aortitis is often secondary to trauma or results from a systemic inflammatory process. Read More

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Primary aortoenteric fistula: A case report and brief review of the literature.

Radiol Case Rep 2021 Nov 14;16(11):3549-3553. Epub 2021 Sep 14.

Department of Radiology, West Virginia University, Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506, USA.

Aortoenteric fistula is a life-threatening emergency and is associated with high morbidity and mortality. Prompt surgical intervention before the aneurysm ruptures lowers the mortality rate to about 50%. Potential imaging mimics for aortoenteric fistula include retroperitoneal fibrosis, mycotic aortic aneurysm, and infectious aortitis. Read More

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November 2021

Medium-term outcomes after inferior vena cava reconstruction for acute and chronic deep vein thrombosis and retroperitoneal fibrosis.

J Vasc Surg Venous Lymphat Disord 2022 05 8;10(3):607-616.e2. Epub 2021 Sep 8.

Cardiovascular Division, Academic Department of Vascular Surgery, St Thomas' Hospital and King's College London, London, UK.

Objective: In the present study, we evaluated the technical and clinical outcomes after endovascular inferior vena cava (IVC) reconstruction in patients with nonmalignant obstruction.

Methods: The preoperative, procedural, and follow-up medical records and imaging studies were retrospectively reviewed for 59 consecutive patients who had undergone endovascular IVC reconstruction for nonmalignant obstruction from February 2014 to January 2019. The patients were classified into three groups according to the quality of their infrainguinal inflow vessels. Read More

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Surgical strategy of IgG4-related inflammatory abdominal aortic aneurysm with preoperative steroid therapy: A case report.

Ann Vasc Surg 2021 Nov 23;77:351.e1-351.e6. Epub 2021 Aug 23.

Department of Cardiovascular Surgery, Osaka Saiseikai NOE Hospital, Osaka, Japan.

Immunoglobulin G4 (IgG4)-related disease, characterized by high serum IgG4 concentrations and IgG4-positive plasma cell infiltration, often presents as an inflammatory aneurysm. We herein report the case of a 78 year-old man, presenting with elevated inflammatory markers and IgG4 concentrations, who was diagnosed with IgG4-related inflammatory abdominal aortic aneurysm with dense perianeurysmal fibrosis. Before the surgical intervention, steroid therapy was administered to resolve his perianeurysmal inflammatory fibrosis. Read More

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November 2021

Renal Involvement in Retroperitoneal Fibrosis: Prevalence, Impact and Management Challenges.

Int J Nephrol Renovasc Dis 2021 29;14:279-289. Epub 2021 Jul 29.

Department of Rheumatology, Kanazawa University Hospital, Kanazawa, Japan.

Retroperitoneal fibrosis (RPF) is a rare disorder consisting of idiopathic and various secondary forms and characterized by chronic inflammatory infiltrates and marked fibrosis in the retroperitoneal space. In idiopathic RPF (IRPF), 35-60% of cases have been reported to be IgG4-related RPF, the retroperitoneal lesions of IgG4-related disease (IgG4-RD). IRPF can frequently lead to renal insufficiency mediated by urinary tract obstruction and hydronephrosis irrespective of being IgG4-related or not. Read More

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State of the art of F-FDG PET/CT application in inflammation and infection: a guide for image acquisition and interpretation.

Clin Transl Imaging 2021 10;9(4):299-339. Epub 2021 Jul 10.

Regional Center of Nuclear Medicine, Department of Translational Research and Advanced Technologies in Medicine, University of Pisa, Pisa, Italy.

Aim: The diagnosis, severity and extent of a sterile inflammation or a septic infection could be challenging since there is not one single test able to achieve an accurate diagnosis. The clinical use of 18F-fluorodeoxyglucose ([F]FDG) positron emission tomography/computed tomography (PET/CT) imaging in the assessment of inflammation and infection is increasing worldwide. The purpose of this paper is to achieve an Italian consensus document on [F]FDG PET/CT or PET/MRI in inflammatory and infectious diseases, such as osteomyelitis (OM), prosthetic joint infections (PJI), infective endocarditis (IE), prosthetic valve endocarditis (PVE), cardiac implantable electronic device infections (CIEDI), systemic and cardiac sarcoidosis (SS/CS), diabetic foot (DF), fungal infections (FI), tuberculosis (TBC), fever and inflammation of unknown origin (FUO/IUO), pediatric infections (PI), inflammatory bowel diseases (IBD), spine infections (SI), vascular graft infections (VGI), large vessel vasculitis (LVV), retroperitoneal fibrosis (RF) and COVID-19 infections. Read More

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IgG4-related disease: not just a matter of IgG4.

Rheumatology (Oxford) 2021 06;60(Suppl 3):iii35-iii38

Department of Biomedical Experimental and Clinical Sciences 'Mario Serio', University of Firenze, and Nephrology Unit, Meyer Children's Hospital, Firenze, Italy.

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Retroperitoneal fibrosis as a postoperative complication following renal transplantation in cats.

J Feline Med Surg 2022 04 21;24(4):304-310. Epub 2021 May 21.

Department of Surgical Sciences, University of Wisconsin-Madison, Madison, WI, USA.

Objectives: The aim of this report was to describe the clinical signs, diagnostic imaging findings, surgical management, histopathological findings, outcome and possible risk factors for cats that developed retroperitoneal fibrosis (RPF) following renal transplantation.

Methods: Medical records of cats that underwent renal transplantation and developed clinically significant RPF between 1995 and 2019 were reviewed.

Results: Eighty-one cats underwent 83 renal transplantations. Read More

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