Ureteral Strangulation by Fibrosis: A Cold Case Report of Ormand's Disease
Retroperitoneal fibrosis or Ormand's disease is rare in incidence and clinically elusive to diagnosis until obstructive uropathy clinically manifests by the mechanism of ureteral fibrotic strangulation and acute renal failure. We encountered a 50-year-old woman with months of nonspecific abdomi...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Nephrology |
| Online Access: | http://dx.doi.org/10.1155/2011/302963 |
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| author | Amarpreet Sandhu Leslea Brickner Mark Chen |
| author_facet | Amarpreet Sandhu Leslea Brickner Mark Chen |
| author_sort | Amarpreet Sandhu |
| collection | DOAJ |
| description | Retroperitoneal fibrosis or Ormand's disease is rare in incidence and clinically elusive to diagnosis until obstructive uropathy clinically manifests by the mechanism of ureteral fibrotic strangulation and acute renal failure. We encountered a 50-year-old woman with months of nonspecific abdominal pain and presented with signs and symptoms of acute renal failure. Laboratory data was significant for blood urea nitrogen 47 mg/dL and creatinine of 8.47 mg/dL. Renal ultrasound revealed bilateral hydronephrosis and an abdominal computed tomogram confirmed an abnormal soft tissue retroperitoneal confluence that encased the pelvic vessels. Urologic consultation was requested and bilateral ureteral stents were placed with relief of her obstructive uropathy. Five days after ureteral stenting her creatinine dropped to 1.64 mg/dL. One month later patient underwent ureterolysis with biopsy showing fibroblast proliferation consistent with acute and chronic inflammation. By ruling out infections and malignancy, the final diagnosis was made to be idiopathic retroperitoneal fibrosis. |
| format | Article |
| id | doaj-art-cc5b7015b7b54898b5def0ecadafff1b |
| institution | DOAJ |
| issn | 2090-6641 2090-665X |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Nephrology |
| spelling | doaj-art-cc5b7015b7b54898b5def0ecadafff1b2025-08-20T03:19:32ZengWileyCase Reports in Nephrology2090-66412090-665X2011-01-01201110.1155/2011/302963302963Ureteral Strangulation by Fibrosis: A Cold Case Report of Ormand's DiseaseAmarpreet Sandhu0Leslea Brickner1Mark Chen2Department of Medicine, Kaiser Permanente, Oakland, CA, USADepartment of Medicine, Kaiser Permanente, Oakland, CA, USADepartment of Medicine, Kaiser Permanente, Oakland, CA, USARetroperitoneal fibrosis or Ormand's disease is rare in incidence and clinically elusive to diagnosis until obstructive uropathy clinically manifests by the mechanism of ureteral fibrotic strangulation and acute renal failure. We encountered a 50-year-old woman with months of nonspecific abdominal pain and presented with signs and symptoms of acute renal failure. Laboratory data was significant for blood urea nitrogen 47 mg/dL and creatinine of 8.47 mg/dL. Renal ultrasound revealed bilateral hydronephrosis and an abdominal computed tomogram confirmed an abnormal soft tissue retroperitoneal confluence that encased the pelvic vessels. Urologic consultation was requested and bilateral ureteral stents were placed with relief of her obstructive uropathy. Five days after ureteral stenting her creatinine dropped to 1.64 mg/dL. One month later patient underwent ureterolysis with biopsy showing fibroblast proliferation consistent with acute and chronic inflammation. By ruling out infections and malignancy, the final diagnosis was made to be idiopathic retroperitoneal fibrosis.http://dx.doi.org/10.1155/2011/302963 |
| spellingShingle | Amarpreet Sandhu Leslea Brickner Mark Chen Ureteral Strangulation by Fibrosis: A Cold Case Report of Ormand's Disease Case Reports in Nephrology |
| title | Ureteral Strangulation by Fibrosis: A Cold Case Report of Ormand's Disease |
| title_full | Ureteral Strangulation by Fibrosis: A Cold Case Report of Ormand's Disease |
| title_fullStr | Ureteral Strangulation by Fibrosis: A Cold Case Report of Ormand's Disease |
| title_full_unstemmed | Ureteral Strangulation by Fibrosis: A Cold Case Report of Ormand's Disease |
| title_short | Ureteral Strangulation by Fibrosis: A Cold Case Report of Ormand's Disease |
| title_sort | ureteral strangulation by fibrosis a cold case report of ormand s disease |
| url | http://dx.doi.org/10.1155/2011/302963 |
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