Vol 86, No 11 (2015)
ARTICLES
Retroperitoneal fibrosis - case report and literature review
Hubert Wolski, Agnieszka Seremak-Mrozikiewicz, Anzelma Woyciechowska, Krzysztof Drews
DOI: 10.17772/gp/60465
·
Ginekol Pol 2015;86(11).
Vol 86, No 11 (2015)
ARTICLES
Abstract
The purpose of the study was to present the symptoms, diagnostic methods, and treatment in retroperitoneal
fibrosis (RPF).
We present a case of a 53-year-old woman admitted to the hospital due to low back and abdominal pain complaints
lasting a year. Ultrasonography revealed a myoma located along the right bank of the uterus. Six months after
myoma enucleation, the patient underwent relaparotomy due to intensifying pain. The surgery revealed the presence
of highly vascularized tissue; ureteral structure and topography of the right retroperitoneal were abolished, and
anatomical borders were obliterated. Ureteral right catheter was placed, retroperitoneal adhesions were released
and tissue fragments were collected from the retroperitoneal space for intraoperative histopathological examination.
The result of histopathological examination indicated the presence of eosinophilia, adult fibroblasts proliferation,
lymphocyte and plasmocyte infiltration, which confirmed the diagnosis of RPF. Corticosteroid therapy, which was
applied during the postoperative period, minimized the pain.
Abstract
The purpose of the study was to present the symptoms, diagnostic methods, and treatment in retroperitoneal
fibrosis (RPF).
We present a case of a 53-year-old woman admitted to the hospital due to low back and abdominal pain complaints
lasting a year. Ultrasonography revealed a myoma located along the right bank of the uterus. Six months after
myoma enucleation, the patient underwent relaparotomy due to intensifying pain. The surgery revealed the presence
of highly vascularized tissue; ureteral structure and topography of the right retroperitoneal were abolished, and
anatomical borders were obliterated. Ureteral right catheter was placed, retroperitoneal adhesions were released
and tissue fragments were collected from the retroperitoneal space for intraoperative histopathological examination.
The result of histopathological examination indicated the presence of eosinophilia, adult fibroblasts proliferation,
lymphocyte and plasmocyte infiltration, which confirmed the diagnosis of RPF. Corticosteroid therapy, which was
applied during the postoperative period, minimized the pain.
Keywords
retroperitoneal fibrosis / IgG4-related disease / corticosteroids therapy
Title
Retroperitoneal fibrosis - case report and literature review
Journal
Ginekologia Polska
Issue
Vol 86, No 11 (2015)
Page views
648
Article views/downloads
4719
DOI
10.17772/gp/60465
Bibliographic record
Ginekol Pol 2015;86(11).
Keywords
retroperitoneal fibrosis / IgG4-related disease / corticosteroids therapy
Authors
Hubert Wolski
Agnieszka Seremak-Mrozikiewicz
Anzelma Woyciechowska
Krzysztof Drews
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