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首页> 外文期刊>International journal of urology: official journal of the Japanese Urological Association >Combined surgical intervention and medical management in a case of atypical idiopathic retroperitoneal fibrosis.
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Combined surgical intervention and medical management in a case of atypical idiopathic retroperitoneal fibrosis.

机译：非典型性特发性腹膜后纤维化病例应结合手术干预和药物治疗。

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摘要

Idiopathic retroperitoneal fibrosis (RPF) is one of the causes of obstructive uropathy. This disease, ever since its original description in 1948, has undergone much trial and error in its management. We present a case of a rare type of idiopathic RPF causing obstructive uropathy, which is perirenal and different from the classical RPF seen around the great vessels. To our knowledge, such a type of RPF has not been described. We treated the patient by a combined surgical approach in the form of ureterolysis and omentoplasty, followed by medical management with steroids and tamoxifen. The combined regimen yielded excellent results, and the patient is doing well at 9 months of follow up. The rarity of the presentation, with predominant bilateral perirenal fibrosis, and response of perirenal RPF to steroids and tamoxifen, is highlighted in this case presentation.
机译：特发性腹膜后纤维化（RPF）是阻塞性尿路病的原因之一。自从1948年对其进行最初描述以来，这种疾病就其治疗方法进行了许多试验和错误。我们介绍了一种罕见类型的特发性RPF，引起阻塞性尿道病，该病是肾周性的，不同于在大血管周围看到的经典RPF。就我们所知，尚未描述这种类型的RPF。我们采用输尿管溶解和网膜成形术的联合手术方法治疗患者，然后进行类固醇和他莫昔芬的药物治疗。联合治疗方案产生了优异的效果，并且患者在随访9个月时情况良好。该病例报告强调了该报告的罕见性，主要表现为双侧肾周纤维化，以及肾周RPF对类固醇和他莫昔芬的反应。

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