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Retroperitoneal fibrosis associated with Riedel's struma.
Canadian Medical Association Journal
|April 21, 1973
Summary
Retroperitoneal fibrosis with bilateral ureteral obstruction can occur with Riedel's struma. Prompt recognition and treatment of retroperitoneal fibrosis improve outcomes, regardless of the associated thyroid condition.
Area of Science:
- Endocrinology
- Urology
- Pathology
Background:
- Retroperitoneal fibrosis (RPF) is an increasingly recognized condition.
- Riedel's struma is a rare thyroid disease characterized by dense fibrosis.
- RPF has been previously associated with Riedel's struma and sclerosing cholangitis.
Purpose of the Study:
- To report a case of retroperitoneal fibrosis with bilateral ureteral obstruction associated with Riedel's struma.
- To discuss the potential relationship between thyroiditis and retroperitoneal fibrosis.
Main Methods:
- Case report presentation.
- Review of existing literature on RPF and Riedel's struma.
Main Results:
- A case of RPF causing bilateral ureteral obstruction in a patient with Riedel's struma is described.
- The incidence of RPF is increasing, but mortality has decreased with prompt treatment.
Conclusions:
- The association between Riedel's struma and RPF is noted, though the exact causal relationship remains unclear.
- The origin of Riedel's thyroiditis (local vs. systemic) is debated.
- Treatment for RPF is consistent regardless of its association with thyroid conditions.