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Fibrosis retroperitoneal - Symptom

Nombres alternativos

Fibrosis retroperitoneal idiopática; enfermedad de Ormond

Síntomas:

Síntomas iniciales:

  • Dolor sordo en el abdomen que se incrementa con el tiempo
  • Dolor y cambio de color en las piernas (debido a la disminución de la circulación)
  • Inflamación de una pierna

Síntomas tardíos:

  • Disminución de la diuresis
  • Ausencia total de orina (anuria)
  • Náuseas, vómitos, cambios en el pensamiento causados por insuficiencia renal y la acumulación de químicos tóxicos en la sangre
  • Dolor abdominal intenso con hemorragia debido a muerte del tejido intestinal

Signos y exámenes:

La tomografía computarizada del abdomen es el mejor método para detectar la masa retroperitoneal.

Otros exámenes que pueden ayudar a diagnosticar esta afección abarcan:

También se puede hacer una biopsia de la masa para descartar cáncer.

  • Reviewed last on: 3/17/2011
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Louis S. Liou, MD, PhD, Chief of Urology, Cambridge Health Alliance, Visiting Assistant Professor of Surgery, Harvard Medical School. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Rottenberg G, Sandhu C. Radiology of the upper urinary tract. In: Adam A, Dixon AK, eds. Grainger & Allison's Diagnostic Radiology: A Textbook of Medical Imaging. 5th ed. New York, NY: Churchill Livingstone; 2008:chap 41.

Turnage RH, Richardson KA, Li BD, McDonald JC. Abdominal wall, umbilicus, peritoneum, mesenteries, omentum, and retroperitoneum. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 43.

Pais VM, Strandhoy JW, Assimos DG. Pathophysiology of urinary tract obstruction. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 37.

Hsu THS, Streem SB, Nakada SY. Management of upper urinary tract obstruction. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 38.

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