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患者,男性,69岁。 症状:腰酸、腰痛半年加重1个月,无血尿、黄疸。 静脉肾盂影示:左侧肾盂积水,输尿管未显影。 CT检查:腹膜后见扁平软组织斑块影,包绕腹膜后血管及输尿管,轮廓消失,后腹膜向前移位,病灶有轻度强化,并可显示血管、输尿管受压,左侧肾盂积水,输尿管扩张,诊断为腹膜后纤维化。 讨论:腹膜后纤维化系原因不明的腹膜后纤维组织的非特异性、非化脓性炎症,又称Ormond病。好发于中年男性,病变呈扁、硬、灰白色纤维斑块,厚度不
Patient, male, 69 years old. Symptoms: backache, back pain six months to increase one month, no hematuria, jaundice. Intravenous renal pelvis shows: left hydronephrosis, ureter is not developed. CT examination: see the flat retroperitoneal soft tissue plaque, peritoneal vascular and ureteral wrap, the outline disappears, the peritoneal anterior shift, the lesion with mild enhancement, and can show the blood vessels, ureteral pressure, left hydronephrosis , Ureteral dilatation, diagnosis of retroperitoneal fibrosis. Discussion: Retroperitoneal fibrosis is a non-specific, non-purulent inflammation of the retroperitoneal fibrous tissue of unknown origin, also known as Ormond’s disease. Occur in middle-aged men, lesions were flat, hard, gray fibrous plaque, the thickness is not