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Retroperitoneal fibrosis

Overview Symptoms Treatment Prevention
Alternative Names:
Idiopathic retroperitoneal fibrosis; Ormond's disease
Symptoms:

Early symptoms:

  • dull pain in the abdomen which increases with time
  • swelling of one leg
  • decreased circulation in the legs leading to pain and discoloration
  • severe abdominal pain with hemorrhage due to ischemic bowel

Later symptoms:

  • urine output, decreased
  • total lack of urine (anuria)
  • nausea, vomiting, changes in thinking caused by kidney failure and the resulting build up of toxic chemicals in the blood.
Signs and tests:
  • elevations in serum BUN and creatinine
  • kidney ultrasound may show hydronephrosis (distention of the kidney pelvis because of fluid accumulation) and a mass
  • excretory urography may show compression and deviation of the ureters
  • abdominal CT scan is the best test to reveal the retroperitoneal mass
  • MRI offers comparable results to the CT scan
  • biopsy to differentiate between retroperitoneal fibrosis and a cancerous tumor
Male urinary system
Male urinary system
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