Retroperitoneal fibrosis presenting as acute renal failure.

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Abstract

BACKGROUND: A 60-year-old man with a history of atherosclerotic disease of the carotid and coronary vasculature presented with lower back pain and acute renal failure. Imaging studies revealed bilateral ureteral obstruction by a large retroperitoneal mass. INVESTIGATIONS: Physical examination, urine and blood analysis, catheterization, radiography of the chest, abdominal and pelvic CT, magnetic resonance angiography, renal ultrasound and biopsy of mass. DIAGNOSIS: Retroperitoneal fibrosis. MANAGEMENT: Ureteral stenting, laparoscopic ureterolysis, and immunosuppressive therapy with prednisone and mycophenolate mofetil.

Original languageEnglish (US)
Pages (from-to)55-59; quiz, 1 p following 59
JournalNature clinical practice. Nephrology
Volume1
Issue number1
DOIs
StatePublished - Nov 2005

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ASJC Scopus subject areas

  • Nephrology

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