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Subakute lumbale Rückenschmerzen und akute Niereninsuffizienz bei einem 47-jährigen Mann


Tritschler, T; Bleisch, J; Al Rifai, A; Marques Maggio, E; Müller, S; Schorn, R (2014). Subakute lumbale Rückenschmerzen und akute Niereninsuffizienz bei einem 47-jährigen Mann. Der Internist, 55(9):1094-1096.

Abstract

A 47-year-old man presented with subacute, low back pain and increased creatinine levels. A CT scan showed an extrinsic, bilateral compression of the ureters by a retroperitoneal mass with pronounced uptake of 18F-fluorodeoxyglucose in positron emission tomography. Histological findings were consistent with the diagnosis of retroperitoneal fibrosis. Urological decompression was performed. The initiated corticosteroids led to a rapid clinical improvement and regression of the retroperitoneal mass. A relapse occurred after tapering of corticosteroids with a prompt response to increase of the dosage.

Abstract

A 47-year-old man presented with subacute, low back pain and increased creatinine levels. A CT scan showed an extrinsic, bilateral compression of the ureters by a retroperitoneal mass with pronounced uptake of 18F-fluorodeoxyglucose in positron emission tomography. Histological findings were consistent with the diagnosis of retroperitoneal fibrosis. Urological decompression was performed. The initiated corticosteroids led to a rapid clinical improvement and regression of the retroperitoneal mass. A relapse occurred after tapering of corticosteroids with a prompt response to increase of the dosage.

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Additional indexing

Other titles:Subacute lower back pain and acute kidney failure in a 47-year old man
Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Institute of Pathology and Molecular Pathology
Dewey Decimal Classification:610 Medicine & health
Language:German
Date:September 2014
Deposited On:14 Jan 2015 12:48
Last Modified:05 Apr 2016 18:43
Publisher:Springer
ISSN:0020-9554
Publisher DOI:https://doi.org/10.1007/s00108-014-3525-7
PubMed ID:25120027

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