title: [Retroperitoneal fibrosis with coincidence of fibrosis in mediastinum].
abstract: Retroperitoneal fibrosis is a disease with replacement of normal retroperitoneal tissue with isolated fibrotic plaque placed around aorta and entrapping ureters. In 15% of patients an fibrotic process can be found outside the retroperitoneum. The most common localisation outside retroperitoneum is mediastinum, however, it can occur in every organ. The patient usually is diagnosed due to symptoms connected to compression of the ureters. We report the case of 41-year-old woman with chronic obstructive pulmonary disease complaining of nonspecific, dull, noncolicky pain localized to the back and abdomen. Finally we recognised retroperitoneal fibrosis. The diagnosis was proven by lumbar mass biopsy.
authors.affiliation: Klinika Chorób Wewnetrznych Pneumonologii i Alergologii Centralnego Szpitala Klinicznego WAM w Warszawie.
authors.forename: K
authors.initials: K
authors.lastname: Jahnz-Rózyk
authors.forename: J
authors.initials: J
authors.lastname: Mierzejewska-Zawisza
authors.forename: T
authors.initials: T
authors.lastname: Płusa
authors.forename: R
authors.initials: R
authors.lastname: Rozyńska-Polańska
authors.forename: M
authors.initials: M
authors.lastname: Zabicka
authors.forename: A
authors.initials: A
authors.lastname: Gomuła
authors.forename: A
authors.initials: A
authors.lastname: Małczyński
authors.forename: M
authors.initials: M
authors.lastname: Kowański
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005355:Fibrosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008482:Mediastinum / Q000473:pathology*; D010146:Pain / Q000209:etiology; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis*; D012185:Retroperitoneal Fibrosis / Q000150:complications* / Q000175:diagnosis*; D012187:Retroperitoneal Space / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014517:Ureteral Obstruction / Q000175:diagnosis / Q000209:etiology; D014567:Urography