Korean J Med.
2002 Aug;63(2):214-219.
A case of idiopathic retroperitoneal fibrosis with chronic renal failure undergoing maintenance hemodialysis
- Affiliations
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- 1Department of Internal Medicine, College of Medicine Inha University, Inchon, Korea. nhkimj@inha.ac.kr
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.
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