Combined idiopathic retroperitoneal and mediastinal fibrosis with pericardial involvement.
Clin Nephrol
; 52(1): 51-5, 1999 Jul.
Article
em En
| MEDLINE
| ID: mdl-10442497
ABSTRACT
We report the case of a 54-year-old woman with renal failure related to bilateral hydronephrosis. Clinical and radiologic findings were consistent with retroperitoneal fibrosis associated with pleuro-pericardial involvement. These features matched criteria for combined idiopathic retroperitoneal fibrosis and idiopathic mediastinal fibrosis. There are few reported cases of pericardial involvement in this combined disorder. In our observation, nuclear-magnetic resonance was the radiologic procedure of choice for aortic exploration. The responsibility of therapeutic agents (beta-adrenoreceptor-blocking drugs and ergotamine) and therapeutic options for the sclerosing disease are also discussed. Bilateral ureteral stents and corticosteroids produced favorable outcome without recurrence one year after treatment was stopped.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pericardite Constritiva
/
Fibrose Retroperitoneal
/
Corticosteroides
/
Doenças do Mediastino
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Ano de publicação:
1999
Tipo de documento:
Article