A case of idiopathic retroperitoneal fibrosis with chronic renal failure undergoing maintenance hemodialysis.
- Author:
Hee Jung LIM
1
;
Jin Young PARK
;
Sung Hak PARK
;
Moon Hee YANG
;
Joon Ho SONG
;
Seoung Woo LEE
;
Moon Jae KIM
Author Information
1. Department of Internal Medicine, College of Medicine Inha University, Inchon, Korea. nhkimj@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Idiopathic retroperitoneal fibrosis;
Chronic renal failure;
Hemodialysis
- MeSH:
Creatinine;
Kidney Failure, Chronic*;
Laparoscopy;
Nephrostomy, Percutaneous;
Renal Dialysis*;
Retroperitoneal Fibrosis*;
Ureteral Obstruction
- From:Korean Journal of Medicine
2002;63(2):214-219
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The idiopathic retroperitoneal fibrosis (IRF) is an inflammatory and fibrosing process that can be complicated by periureteral encasement, ureteral obstruction and subsequent chronic renal failure if left untreated. Unfortunately, treatment is often delayed due to the nonspecific nature of the presenting signs and symptoms. The treatment of IRF is controversial. Recently, surgical correction of IRF attempted open surgical treatment or using laparoscopy before severe renal damage.We experienced a case of IRF with chronic renal failure. Serum creatinine on admission was 22.1 mg/dL, and he was treated with percutaneous nephrostomy. Due to uremic symptom and progressive elevated serum creatinine, he was started hemodialysis. We present the case with a review of literature.
