Gülşah UÇAN, Mustafa Emin ÇANAKÇI, Ömer Erdem ŞEVİK, Ruhi CÜRE, Ata ÖZEN

Yan Ağrısı ile Nadir Bir Başvuru Nedeni: Retroperitoneal Fibrozis

Retroperitoneal fibrozis (RPF), inflamatuar ve fibrotik süreçleri olan, nadir görülen, yavaş ilerleyen bir hastalıktır. Tanımlanan nedenler arasında maligniteler, karın içi ameliyatlar, bazı ilaçlar ve enfeksiyon sonrası inflamasyon yer alır. Bununla birlikte, çoğu durumda neden tespit edilemez. Erkeklerde iki kat daha sık görülür. Ortalama yaş 50-60 yıl civarındadır. Fibrozis genellikle abdominal aort çevresinde gelişir. Üreteral kompresyon, obstrüktif üropati semptomları ile ortaya çıkabilir. Hidronefrozlu hastalarda cerrahi birincil tedavi seçeneğidir. Bu olgu sunumunda yan ağrısı şikayeti ile acil servise başvuran bir hastada yatak başı ultrasonografi ve bilgisayarlı tomografi (BT) görüntüleme ile saptanan RPF tedavisini sunuyoruz.

Anahtar Kelimeler:

Acil servis, Retroperitoneal Fibrozis, Hidronefroz, ultrasonografi

A Rare Cause of Admission with Flank Pain: Retroperitoneal Fibrosis

Retroperitoneal fibrosis (RPF) is a rare, slow progressing disease with inflammatory and fibrotic processes. The identified causes include malignancies, intra-abdominal surgeries, certain drugs, and postinfectious inflammation. However, the cause cannot be identified in most cases. It is observed twice as frequently in males. The mean age is around 50–60 years. Fibrosis usually develops around the abdominal aorta. Ureteral compression can present with symptoms of obstructive uropathy. Surgery is the primary treatment option in patients with hydronephrosis. In this case report, we present the management of RPF which was detected by bedside ultrasonography and computed tomography (CT) imaging in a patient admitted to the emergency department with a complaint of flank pain.

Keywords:

Emergency department, Retroperitoneal fibrosis, Hydronephrosis, Ultrasonography,

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