RESUMEN
Retroperitoneal fibrosis (RPF) is a rare fibro-inflammatory condition characterized by abnormal tissue growth around the abdominal aorta and iliac arteries, usually encasing adjacent structures like the ureters. Its etiology remains most of the time idiopathic, but secondary causes, including malignancies and medication use, account for a minority of cases. This review aims to consolidate recent advancements in understanding RPF, focusing on its pathophysiology, diagnosis, and treatment. Literature search was conducted using databases like PubMed, with emphasis on recent publications. Biomarkers such as elevated CRP levels and imaging techniques like CT scans and MRI play pivotal roles in diagnosis and monitoring. Medical management primarily revolves around corticosteroids, with adjunctive therapies like tamoxifen and immunosuppressants showing promise. Surgical intervention, typically ureterolysis, becomes necessary in cases of urinary tract obstruction. This review studies the importance of a comprehensive approach to RPF management, integrating medical and surgical modalities for optimal patient outcomes.
RESUMEN
Spontaneous renal subcapsular effusion is a rare condition, diagnosis is suspected on ultrasound and confirmed by a computed tomography (CT) scan. Treatment options include mainly percutaneous drainage and surgery. Authors report the case of a young female patient treated at our department of Urology B, university hospital center Ibn Sina, Rabat, MOROCCO. The patient underwent a minimally invasive treatment approach, which yielded excellent results.