A Rare Reason for Admission with Flank Pain: Retroperitoneal Fibrosis

Uçan G., Çanakçı M. E., Şevik Ö. E., Cüre R., Özen A.

Eskisehir Medical Journal, vol.3, no.1, pp.36-39, 2022 (Peer-Reviewed Journal)


Retroperitoneal fibrosis (RPF) is a rare, slow progressing disease with inflammatory and fibrotic processes. The identified causes include malignancies, intra-abdominal surgeries, certain drugs, and postinfectious inflammation. However, the cause cannot be identified in most cases. It is observed twice as frequently in males. The mean age is around 50–60 years. Fibrosis usually develops around the abdominal aorta. Ureteral compression can present with symptoms of obstructive uropathy. Surgery is the primary treatment option in patients with hydronephrosis. In this case report, we present the management of RPF which was detected by bedside ultrasonography and computed tomography (CT) imaging in a patient admitted to the emergency department with a complaint of flank pain.