Case Report

Bilateral Hydronephrosis Related to Retroperitoneal Fibrosis and Response to Steroid Therapy: Case Report

10.5505/1304.8503.2011.03511

  • Bennur Esen GÜLLÜ
  • Tuncay DAĞEL
  • İbrahim DOĞAN
  • Serdar KAHVECİOĞLU

Received Date: 03.02.2011 Accepted Date: 20.05.2011 İstanbul Med J 2011;12(4):187-190

Retroperitoneal fibrosis (RPF) is a chronic inflammatory disease that often responds to steroid therapy. In this report, we present a patient admitted with anuria and bilateral hydronephrosis related to RPF and his quick response to steroid. A 65-year-old male patient admitted with the complaints of inability to urinate for three days. Laboratory tests revealed urea of 156 mg/dl and creatinine of 15 mg/dl. Abdominal computerized tomography (CT) scan showed an increased soft tissue density in the para aortic retroperitoneal region and bilateral urethral dilatation, and this image was noted as RPF. A double J (DJ) catheter was inserted and methylprednisolone 60 mg/day was started. On the seventh day, laboratory values were: urea: 32 mg/dl and creatinine: 1.1 mg/dl. On the follow-up CT scan two months after the treatment, RPF had regressed. The DJ catheter was withdrawn, and methylprednisolone was stopped with decreasing doses in six months. It should be kept in mind that this disease is an etiological factor causing obstructive uropathy.

Keywords: Kidney failure, hydronephrosis, retroperitoneal fibrosis, methylprednisolone