Poster électronique

La fibrose rétropéritonéale primitive : à propos de 11 cas
H. Zian, I. Nassar, L. Hammani, A. Ajana, F. Imani - Rabat - Maroc
Congrès 2010
Résumé
Objectifs
Faire connaître une cause curable de l'insuffisance rénale chronique, à travers 11 cas de fibrose rétropéritonéale (FRP), explorés par TDM abdominale et confirmés histologiquement.
Matériels et méthodes
Nous avons analysé les observations de FRP diagnostiquées entre 2000 et 2009 dans notre hôpital. Tous nos patients ont bénéficié d'un scanner abdominal réalisé au temps intermédiaire et tardif.
Résultats
Il s'agit de 11 patients (8 hommes et 3 femmes), sans antécédents pathologiques particuliers, dont l'âge moyen est de 44,6 ans. Tous les malades ont consulté pour des douleurs lombaires et abdominales, un patient a consulté pour la palpation d'une masse abdominale battante. Un syndrome inflammatoire existait dans tous les cas et une insuffisance rénale dans 1 cas. La TDM abdominale a mis en évidence une masse rétropéritonéale, hypodense rehaussée après injection de produit de contraste, dont l'étendue variait de 4 à 11 cm. Les uretères étaient englobés dans 4 cas avec urétéro-hydronéphrose d'amont. Le diagnostic de FRP idiopathique était histologique, après biopsie scano-guidée. Les patients ont bien évolué sous corticothérapie.
Conclusion
La FRP est une pathologie rare. La TDM permet le diagnostic positif, le diagnostic étiologique en guidant un geste biopsique et le suivi de l'évolution ultérieure sous traitement.
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2017-08-29 16.29 :
Shana Phillips

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Ann Tabares

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