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Retroperitoneal fibrosis with large-vessel obstruction. An uncommon vascular disorder
Abstract:
Five cases are presented in which retroperitoneal fibrosis had entrapped the inferior vena cava and/or aorta and caused occlusive vascular disease. The diagnosis was known preoperatively in two cases and was made at laparotomy in the others. The fibrosis in one case was caused by abdominal tuberculosis. In another case it was most probably secondary to an earlier trauma to the back. No cause could be established in the other three cases. CT scanning is valuable for identifying the lesion. Venous thrombectomy with arteriovenous fistula formation was successful in cases presenting with deep venous thrombosis.
Insights
Retroperitoneal fibrosis can obstruct major blood vessels, leading to occlusive vascular disease. Surgical intervention, including venous thrombectomy, can be successful for deep vein thrombosis caused by this condition.
Area of Science:
- Vascular Surgery
- Abdominal Imaging
- Pathology
Background:
- Retroperitoneal fibrosis is a rare condition that can affect major abdominal vessels.
- Understanding its impact on the inferior vena cava and aorta is crucial for patient management.
Observation:
- Five cases of retroperitoneal fibrosis entrapping the inferior vena cava and/or aorta are presented.
- Occlusive vascular disease was a significant complication in these cases.
- Causes included abdominal tuberculosis, trauma, and idiopathic origins.
Findings:
- Diagnosis was preoperative in two cases and intraoperative in three.
- Computed tomography (CT) scanning proved valuable in identifying the retroperitoneal fibrosis.
- Venous thrombectomy with arteriovenous fistula formation was a successful treatment for deep venous thrombosis.
Implications:
- Early diagnosis and surgical intervention are vital for managing vascular complications of retroperitoneal fibrosis.
- CT scanning aids in preoperative diagnosis.
- Successful treatment strategies exist for associated deep venous thrombosis.