THE ROLE OF COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF RETROPERITONEAL FIBROSIS

Abstract

Retroperitoneal fibrosis (Ormond’s disease) is a rare disease, it is characterized by the development of a nonspecific inflammatory process in the retroperitoneal tissue with the formation of a fibrous tissue that gradually leads to compression by a number of located structures. Although the final diagnosis can be made only on the basis of biopsy, computed tomography is of great importance for the evaluation of the pathological process, it allows diagnosing the disease, assessing its prevalence and observing the dynamics during treatment. This article presents clinical observations of two patients diagnosed with retroperitoneal fibrosis using conservative and surgical methods of treatment. Patients were under dynamic control, they underwent ultrasound, CT and MRI examination during treatment. These diagnostic procedures made it possible to identify Ormond’s disease and prescribe the necessary treatment. The article contains the protocols of CT studies, the conclusions of ultrasound and MRI examinations, the data of laboratory analyzes, the description of surgical interventions

Keywords

• retroperitoneal fibrosis
• ureterohydronephrosis
• ct diagnostics
• ureteral stenosis