급성 신부전과 흉수를 동반한 원발성 후복막강 섬유화증 1예
A Case of Idiopathic Retroperitoneal Fibrosis with Acute Renal Failure and a Pleural Effusion
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
저자들은 50세 남자 환자에서 요관 폐쇄에 의한 급성 신부전과 편측성 흉수를 동반한 원발성 후복막강 섬유화증을 진단하고, 요관내 카테터 삽입술을 시행받았으나 신부전 악화되어 경피적 신루술 및 steroid 투여 후에 급성 신부전 및 편측성 흉수의 호전을 보인 1예 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Idiopathic retroperitoneal fibrosis (IRF) is characterized by a fibrotic process and chronic inflammation of the retroperitoneal area and aorta. The development of retroperitoneal inflammation and fibrosis often results in periureteral encasement, ureteral obstruction, acute renal failure, and subsequent chronic renal failure and, rarely, mediastinal, pericardial, or pleural involvement. Our patient presented with left flank pain and abdominal computed tomography (CT) showed a retroperitoneal mass encompassing the aorta and both ureters. IRF was diagnosed after a biopsy of the retroperitoneal mass. A complicating left pleural effusion and acute renal failure developed and the patient underwent a percutaneous nephrostomy and was treated with prednisolone. After this, the patient’s symptoms, renal failure, and pleural effusion improved and the retroperitoneal mass decreased in size. We report a case of IRF with a pleural effusion and acute renal failure that improved with steroid treatment, with a literature review. (Korean J Med 2011;80:S263-S267)
참고문헌 (18)
- Vaglio A, "Retroperitoneal fibrosis", Lancet, 367, pp.241~251 (2006)
- Amiya E, "Retroperitoneal fibrosis with periaortic and pericardial involvement", Circ J, 69, pp.760~762 (2005)
- Reilly RF Jr, "Retroperitoneal fibrosis presenting as acute renal failure", Nat Clin Pract Nephrol, 1, pp.55~59 (2005)
- van Bommel EF, "Retroperitoneal fibrosis", Neth J Med, 60, pp.231~242 (2002)
- Koep L, "The clinical significance of retroperitoneal fibrosis", Surgery, 81, pp.250~257 (1977)
- Cronin CG, "Retroperitoneal fibrosis: a review of clinical features and imaging findings", AJR Am J Roentgenol, 191, pp.423~431 (2008)
- Hall MC, "Diseases of the retroperitoneum. In Adult and pediatric urology", pp.1123~1158 (1996), Mosby
- Lepor H, "Idiopathic retroperitoneal fibrosis", J Urol, 122, pp.1~6 (1979)
- Baker LR, "Idiopathic retroperitoneal fibrosis: a retrospective analysis of 60 cases", Br J Urol, 60, pp.497~503 (1987)
- Comings DE, "Familial multifocal fibrosclerosis: finding suggesting that retroperitoneal fibrosis, mediastinal fibrosis, sclerosing cholangitis, Riedel's thyroiditis, and pseudotumor of the orbit may be different manifestations of a single disease", Ann Intern Med, 66, pp.884~892 (1967)
- Sassa H, "A case of idiopathic retroperitoneal fibrosis with chronic pericarditis", Intern Med, 31, pp.414~417 (1992)
- 이경해, "급성 신부전으로 발현된 특발성 후복막 섬유증의 스테로드 치료 1예", Kidney Research and Clinical Practice, 23(4), pp.649~654 (2004), 대한신장학회
- 윤기철, "A Case of Postrenal Acute Kidney Injury Complicating Retroperitoneal Fibrosis Associated with Autoimmune Pancreatitis", Kidney Research and Clinical Practice, 29(1), pp.131~135 (2010), 대한신장학회
- Resnick MI, "Extrinsic obstruction of the ureter. In: Campbell's urology", pp.387~ (1996), Saunders
- Marcolongo R, "Immunosuppressive therapy for idiopathic retroperitoneal fibrosis: a retrospective analysis of 26 cases", Am J Med, 116, pp.194~197 (2004)
- Harreby M, "Retroperitoneal fibrosis treated with methylprednisolon pulse and disease-modifying antirheumatic drugs", Scand J Urol Nephrol, 28, pp.237~242 (1994)
- Warnatz K, "Immunosuppressive treatment of chronic periaortitis: a retrospective study of 20 patients with chronic periaortitis and a review of the literature", Ann Rheum Dis, 64, pp.828~833 (2005)
- Dedeoglu F, "Successful treatment of retroperitoneal fibrosis with tamoxifen in a child", J Rheumatol, 28, pp.1693~1695 (2001)