Presentation
Admitted for the purpose of surgical treatment of hernia. During surgery, 3 liters of fluid was removed and the surgeon saw a retroperitoneal mass of fibrous tissue.
Patient Data
Age: 80 years
Gender: Female
From the case:
Malignant retroperitoneal fibrosis
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Mantle of soft tissue encansing aorta, inferior vena cava and ureters, with caudal extenson to the iliac vessels. The right kidney is also encased, with right hydronephrosis. Avid contrast enhancement.
Case Discussion
The findings are consistent with "malignant" retroperitoneal fibrosis, and must be differentiated from retroperitoneal metastasis, lymphoma, aortitis, and retroperitoneal hemorrhage.