급성 신부전과 흉수를 동반한 원발성 후복막강 섬유화증 1예 (A Case of Idiopathic Retroperitoneal Fibrosis with Acute Renal Failure and a Pleural Effusion)

서지정보

· 발행기관 : 대한내과학회
· 수록지 정보 : 대한내과학회지 / 80권 / 263 ~ 267페이지
· 저자명 : 구승원, 김미애, 김주환, 유광호, 박현정, 김경호, 김형종

초록

저자들은 50세 남자 환자에서 요관 폐쇄에 의한 급성 신부전과 편측성 흉수를 동반한 원발성 후복막강 섬유화증을 진단하고, 요관내 카테터 삽입술을 시행받았으나 신부전 악화되어 경피적 신루술 및 steroid 투여 후에 급성 신부전 및 편측성 흉수의 호전을 보인 1예 경험하였기에 문헌고찰과 함께 보고하는 바이다.

영어초록

Idiopathic retroperitoneal fibrosis (IRF) is characterized by a fibrotic process and chronic inflammation of the retroperitoneal area and aorta. The development of retroperitoneal inflammation and fibrosis often results in periureteral encasement, ureteral obstruction, acute renal failure, and subsequent chronic renal failure and, rarely, mediastinal, pericardial, or pleural involvement. Our patient presented with left flank pain and abdominal computed tomography (CT) showed a retroperitoneal mass encompassing the aorta and both ureters. IRF was diagnosed after a biopsy of the retroperitoneal mass. A complicating left pleural effusion and acute renal failure developed and the patient underwent a percutaneous nephrostomy and was treated with prednisolone. After this, the patient’s symptoms, renal failure, and pleural effusion improved and the retroperitoneal mass decreased in size. We report a case of IRF with a pleural effusion and acute renal failure that improved with steroid treatment, with a literature review. (Korean J Med 2011;80:S263-S267)

참고자료

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