title: [Rare cause of an abdominal emergency--case 6/2014].
abstract: METHODS
  We report on a 58-year-old male patient with abdominal and right-sided flank pain, who presented with the picture of an acute abdominal emergency.
  
  
  METHODS
  Laboratory tests revealed evidence of an inflammation and a hematuria. In the Doppler duplex ultrasound and computed tomography, chronic idiopathic periaortitis was diagnosed. The inflammatory-fibrosing disease resulted in urine retention and rupture of the fornix of the right kidney.
  
  
  METHODS
  After surgical implementation of an ureteral stent and initiation of immunosuppressive therapy, it came to an improvement of the symptoms.
  
  
  CONCLUSIONS
  In the differential diagnosis of an acute abdominal emergency, diseases of the aorta should be taken into account. Especially in male patients with anatomical complications it is important to exclude an inflammatory-fibrosing disease.
authors.affiliation: Medizinische Klinik IV - Endokrinologie und Diabetologie, Angiologie, Nephrologie und klinische Chemie, Universitätsklinikum Tübingen.
authors.forename: Elko
authors.initials: E
authors.lastname: Randrianarisoa
authors.affiliation: Medizinische Klinik IV - Endokrinologie und Diabetologie, Angiologie, Nephrologie und klinische Chemie, Universitätsklinikum Tübingen.
authors.forename: Martin
authors.initials: M
authors.lastname: Kächele
authors.affiliation: Medizinische Klinik II - Onkologie, Hämatologie, Klinische Immunologie, Rheumatologie und Pulmologie, Universitätsklinikum Tübingen.
authors.forename: Jörg
authors.initials: J
authors.lastname: Henes
authors.affiliation: Klinik für Urologie, Universitätsklinikum Tübingen.
authors.forename: Bastian
authors.initials: B
authors.lastname: Amend
authors.affiliation: Radiologische Klinik - Diagnostische und interventionelle Radiologie, Universitätsklinikum Tübingen.
authors.forename: Marius
authors.initials: M
authors.lastname: Horger
authors.affiliation: Medizinische Klinik IV - Endokrinologie und Diabetologie, Angiologie, Nephrologie und klinische Chemie, Universitätsklinikum Tübingen.
authors.forename: Bernd
authors.initials: B
authors.lastname: Balletshofer
authors.affiliation: Medizinische Klinik IV - Endokrinologie und Diabetologie, Angiologie, Nephrologie und klinische Chemie, Universitätsklinikum Tübingen.
authors.forename: Kilian
authors.initials: K
authors.lastname: Rittig
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis*; D001027:Aortography; D054893:Cone-Beam Computed Tomography; D003937:Diagnosis, Differential; D004630:Emergencies; D006801:Humans; D007083:Iliac Artery; D007089:Image Enhancement; D007090:Image Interpretation, Computer-Assisted; D008297:Male; D008875:Middle Aged; D012185:Retroperitoneal Fibrosis / Q000175:diagnosis*; D018616:Ultrasonography, Doppler, Duplex; D014517:Ureteral Obstruction / Q000175:diagnosis