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[Ormond's disease and chronic venous obstruction].

H W Kratz, C Specker

    Der Radiologe
    |August 1, 1985
    PubMed
    Summary

    Retroperitoneal fibrosis (RPF) diagnosis often relies on excretory urography, revealing ureter deviation and obstruction. However, RPF can also manifest as vascular disease, requiring diverse diagnostic considerations.

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    Area of Science:

    • Radiology
    • Urology
    • Vascular Surgery

    Background:

    • Retroperitoneal fibrosis (RPF) is a condition characterized by excessive fibrous tissue in the retroperitoneum.
    • Excretory urography is a key diagnostic imaging modality for RPF, often demonstrating characteristic ureteral changes.
    • The potential for RPF to present as vascular disease is less commonly recognized but clinically significant.

    Purpose of the Study:

    • To highlight the diagnostic utility of excretory urography in retroperitoneal fibrosis (RPF).
    • To discuss the varied imaging appearances of RPF, including its presentation as vascular disease.
    • To illustrate these diverse presentations using clinical examples.

    Main Methods:

    • Review of diagnostic criteria for RPF using excretory urography.
    • Analysis of ureteral deviation, urinary obstruction, and upper ureteral stenosis as indicators of RPF.
    • Case-based discussion of RPF presentations, including vascular manifestations.

    Main Results:

    • Excretory urography effectively identifies ventro-medial ureteral deviation at the lower lumbar spine, indicative of RPF.
    • Urinary obstruction and pointed clinical stenosis of the upper ureters are key diagnostic signs on urography.
    • RPF can manifest clinically as vascular disease, a presentation that requires specific diagnostic awareness.

    Conclusions:

    • Excretory urography remains a valuable tool for diagnosing retroperitoneal fibrosis (RPF).
    • Recognizing the spectrum of RPF appearances, including vascular involvement, is crucial for accurate diagnosis and management.
    • Clinical vigilance for less common presentations of RPF is essential.

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