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Retroperitoneal fibrosis with pancreatic involvement : radiological appearance

Retroperitoneal fibrosis with pancreatic involvement ...

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dc.contributor.author Zielonko, Joanna pl
dc.contributor.author Obołończyk, Łukasz pl
dc.date.accessioned 2018-09-18T10:08:39Z
dc.date.available 2018-09-18T10:08:39Z
dc.date.issued 2011 pl
dc.identifier.issn 1733-134X pl
dc.identifier.uri https://ruj.uj.edu.pl/xmlui/handle/item/57052
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa *
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/pl/legalcode *
dc.title Retroperitoneal fibrosis with pancreatic involvement : radiological appearance pl
dc.type JournalArticle pl
dc.description.physical 69-72 pl
dc.description.additional Bibliogr. s. 72 pl
dc.identifier.weblink http://archiwum.polradiol.com/abstract/index/idArt/882149 pl
dc.abstract.en Background: Retroperitoneal fibrosis or Ormond's disease is an uncommon process characterized by fibrous tissue proliferation in the retroperitoneum, usually involving the aorta, inferior vena cava and iliac vessels. Obstructive hydronephrosis is often observed due to ureteral entrapment. This report presents a case of the peripancreatic location of the disease. The role of CT and MRI in establishing diagnosis of retroperitoneal fibrosis in an atypical site is discussed. Case Report: A 52-year-old woman with Hashimoto's thyroiditis was admitted to hospital because of pain suggesting renal colic. The patient was subjected to ultrasound, CT, and MRI which did not confirm urolithiasis but revealed pancreatic infiltration. Partial pancreatectomy, left-sided adrenalectomy and splenectomy were performed. Retroperitoneal fibrosis was diagnosed in the histopathological examination. A few weeks after surgery, a complication such as pancreatitis developed. Repeat CT confirmed it and showed right hydronephrosis secondary to ureteral involvement by a mass adjacent to the common iliac artery (defined as a typical manifestation of retroperitoneal fibrosis). Nephrostomy and conservative treatment improved the clinical state of the patient. No progression of the process was observed in the follow-up examinations. Conclusions: Atypical retroperitoneal fibrosis remains a diagnostic challenge. Imaging techniques CT and MRI are useful tools for evaluating the extent of Ormond's disease. An unusual distribution of the process (e.g. peripancreatic location reported in this study) requires histopathological assessment to establish the final diagnosis. pl
dc.subject.en retroperitoneum pl
dc.subject.en fibrosis pl
dc.subject.en CT pl
dc.subject.en MRI pl
dc.description.volume 76 pl
dc.description.number 4 pl
dc.identifier.eissn 1899-0967 pl
dc.title.journal Polish Journal of Radiology pl
dc.language.container eng pl
dc.date.accession 2018-09-18 pl
dc.subtype Article pl
dc.identifier.articleid 882149 pl
dc.rights.original CC-BY-NC-ND; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0 pl
dc.identifier.project ROD UJ / OP pl


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Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa