Resumo

GARZON, Andrés; DIAZ, María Claudia; FERNANDEZ-AVILA, Daniel G.  e  GUTIERREZ, Juan Martín. Idiopathic retroperitoneal fibrosis. Acta Med Colomb [online]. 2015, vol.40, n.3, pp.260-262. ISSN 0120-2448.

The case of a 36-year-old woman who consults for history of abdominal pain associated to diarrhea and emesis of eight months of evolution, being initially handled as irritable bowel syndrome, is presented. Given the persistence of pain, imaging studies suggestive of retroperitoneal mass were requested and were referred for assessment by surgery. Physical examination showed generalized pain at abdominal palpation without lymphadenopathy or masses. Abdominal resonance showed solid retroperitoneal mass of left para-aortic location and interaortocaval space, circumferentially encompassing the abdominal aorta at the emergence of renal arteries engaging adjacent tissue with decreased size of the left kidney, compensated by right kidney hyperthrophy. Tumor markers were negative, and colonoscopy did not show evidence of masses. A carried CT-guided biopsy was performed with conclusive pathology of idiopathic retroperitoneal fibrosis. Conclusion: a case of idiopathic retroperitoneal fibrosis, disease with very low frequency in everyday clinical practice, is presented. (Acta Med Colomb 2015: 40: 260-262).

Palavras-chave : retroperitoneal fibrosis; colchicine; prednisolone; pain.

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