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Retroperitoneal Fibrosis
Matthew T. Heller, MD, FSAR
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Retroperitoneal fibrosis (RPF)
            • Synonyms

              • Ormond disease, periaortitis
            • Definitions

              • Spectrum of diseases resulting in proliferation of fibroinflammatory tissue in infrarenal portion of retroperitoneum

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Nuclear Medicine Findings

                        • Imaging Recommendations

                          • Therapeutic Response

                            DIFFERENTIAL DIAGNOSIS

                              PATHOLOGY

                              • General Features

                                • Gross Pathologic & Surgical Features

                                  • Microscopic Features

                                    CLINICAL ISSUES

                                    • Presentation

                                      • Demographics

                                        • Natural History & Prognosis

                                          • Treatment

                                            DIAGNOSTIC CHECKLIST

                                            • Consider

                                              • Image Interpretation Pearls

                                                Selected References

                                                1. Bakir B et al: Role of diffusion-weighted MR imaging in the differentiation of benign retroperitoneal fibrosis from malignant neoplasm: preliminary study. Radiology. 272(2):438-45, 2014
                                                2. Caiafa RO et al: Retroperitoneal fibrosis: role of imaging in diagnosis and follow-up. Radiographics. 33(2):535-52, 2013
                                                3. George V et al: Chronic fibrosing conditions in abdominal imaging. Radiographics. 33(4):1053-80, 2013
                                                4. Goenka AH et al: Imaging of the retroperitoneum. Radiol Clin North Am. 50(2):333-55, vii, 2012
                                                5. Rosenkrantz AB et al: Utility of MRI features for differentiation of retroperitoneal fibrosis and lymphoma. AJR Am J Roentgenol. 199(1):118-26, 2012
                                                6. Li KP et al: Idiopathic retroperitoneal fibrosis (RPF): clinical features of 61 cases and literature review. Clin Rheumatol. 30(5):601-5, 2011
                                                7. Cronin CG et al: Retroperitoneal fibrosis: a review of clinical features and imaging findings. AJR Am J Roentgenol. 191(2):423-31, 2008
                                                8. Vaglio A et al: Retroperitoneal fibrosis. Lancet. 367(9506):241-51, 2006
                                                9. Fukukura Y et al: Autoimmune pancreatitis associated with idiopathic retroperitoneal fibrosis. AJR Am J Roentgenol. 181(4):993-5, 2003
                                                10. Hamano H et al: Hydronephrosis associated with retroperitoneal fibrosis and sclerosing pancreatitis. Lancet. 359(9315):1403-4, 2002
                                                11. Nishimura H et al: MR imaging of soft-tissue masses of the extraperitoneal spaces. Radiographics. 21(5):1141-54, 2001
                                                12. Sung MS et al: Myxoid liposarcoma: appearance at MR imaging with histologic correlation. Radiographics. 20(4):1007-19, 2000
                                                13. Vivas I et al: Retroperitoneal fibrosis: typical and atypical manifestations. Br J Radiol. 73(866):214-22, 2000
                                                Related Anatomy
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                                                Related Differential Diagnoses
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                                                References
                                                Tables

                                                Tables

                                                KEY FACTS

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Pathology

                                                      • Clinical Issues

                                                        • Diagnostic Checklist

                                                          TERMINOLOGY

                                                          • Abbreviations

                                                            • Retroperitoneal fibrosis (RPF)
                                                          • Synonyms

                                                            • Ormond disease, periaortitis
                                                          • Definitions

                                                            • Spectrum of diseases resulting in proliferation of fibroinflammatory tissue in infrarenal portion of retroperitoneum

                                                          IMAGING

                                                          • General Features

                                                            • Radiographic Findings

                                                              • CT Findings

                                                                • MR Findings

                                                                  • Ultrasonographic Findings

                                                                    • Nuclear Medicine Findings

                                                                      • Imaging Recommendations

                                                                        • Therapeutic Response

                                                                          DIFFERENTIAL DIAGNOSIS

                                                                            PATHOLOGY

                                                                            • General Features

                                                                              • Gross Pathologic & Surgical Features

                                                                                • Microscopic Features

                                                                                  CLINICAL ISSUES

                                                                                  • Presentation

                                                                                    • Demographics

                                                                                      • Natural History & Prognosis

                                                                                        • Treatment

                                                                                          DIAGNOSTIC CHECKLIST

                                                                                          • Consider

                                                                                            • Image Interpretation Pearls

                                                                                              Selected References

                                                                                              1. Bakir B et al: Role of diffusion-weighted MR imaging in the differentiation of benign retroperitoneal fibrosis from malignant neoplasm: preliminary study. Radiology. 272(2):438-45, 2014
                                                                                              2. Caiafa RO et al: Retroperitoneal fibrosis: role of imaging in diagnosis and follow-up. Radiographics. 33(2):535-52, 2013
                                                                                              3. George V et al: Chronic fibrosing conditions in abdominal imaging. Radiographics. 33(4):1053-80, 2013
                                                                                              4. Goenka AH et al: Imaging of the retroperitoneum. Radiol Clin North Am. 50(2):333-55, vii, 2012
                                                                                              5. Rosenkrantz AB et al: Utility of MRI features for differentiation of retroperitoneal fibrosis and lymphoma. AJR Am J Roentgenol. 199(1):118-26, 2012
                                                                                              6. Li KP et al: Idiopathic retroperitoneal fibrosis (RPF): clinical features of 61 cases and literature review. Clin Rheumatol. 30(5):601-5, 2011
                                                                                              7. Cronin CG et al: Retroperitoneal fibrosis: a review of clinical features and imaging findings. AJR Am J Roentgenol. 191(2):423-31, 2008
                                                                                              8. Vaglio A et al: Retroperitoneal fibrosis. Lancet. 367(9506):241-51, 2006
                                                                                              9. Fukukura Y et al: Autoimmune pancreatitis associated with idiopathic retroperitoneal fibrosis. AJR Am J Roentgenol. 181(4):993-5, 2003
                                                                                              10. Hamano H et al: Hydronephrosis associated with retroperitoneal fibrosis and sclerosing pancreatitis. Lancet. 359(9315):1403-4, 2002
                                                                                              11. Nishimura H et al: MR imaging of soft-tissue masses of the extraperitoneal spaces. Radiographics. 21(5):1141-54, 2001
                                                                                              12. Sung MS et al: Myxoid liposarcoma: appearance at MR imaging with histologic correlation. Radiographics. 20(4):1007-19, 2000
                                                                                              13. Vivas I et al: Retroperitoneal fibrosis: typical and atypical manifestations. Br J Radiol. 73(866):214-22, 2000