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Contenido en el Idioma Español de University of Maryland Medical Center

Fibrosis retroperitoneal - Treatment

Nombres alternativos

Fibrosis retroperitoneal idiopática; enfermedad de Ormond

Tratamiento:

Primero, se ensaya con medicamentos antinflamatorios potentes, llamados corticosteroides. Algunos médicos también utilizan un medicamento llamado tamoxifeno para tratar esta afección.

Si el tratamiento con corticosteroides no funciona, se debe practicar una biopsia para confirmar el diagnóstico. Si éste se confirma, generalmente se prescriben otros medicamentos para inhibir el sistema inmunitario.

Cuando los medicamentos no funcionan, se necesita cirugía y el uso de stents (tubos de drenaje).

Expectativas (pronóstico):

El pronóstico depende de la extensión de la fibrosis y de la magnitud del daño a los riñones. El daño renal puede ser temporal o permanente.

Complicaciones:

El trastorno puede provocar:

Situaciones que requieren asistencia médica:

Consulte con el médico si experimenta dolor de costado o en la parte baja del abdomen, particularmente con disminución del volumen de orina.

Sistema urinario masculino

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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