PT  - JOURNAL ARTICLE
AU  - Almond Leung
AU  - Haitham M Elasir
AU  - Karim M Mahawish
TI  - Image of the month: Ormond's disease: A diagnostic challenge
AID  - 10.7861/clinmed.2020-0288
DP  - 2020 Jul 01
TA  - Clinical Medicine
PG  - 440--441
VI  - 20
IP  - 4
4099  - http://www.rcpjournals.org/content/20/4/440.short
4100  - http://www.rcpjournals.org/content/20/4/440.full
SO  - Clin Med2020 Jul 01; 20
AB  - Idiopathic retroperitoneal fibrosis is a rare disease. Symptoms include constitutional symptoms and abdominal/flank pain. Causes of retroperitoneal fibrosis include non-infectious and infectious etiologies. Of the infectious etiologies, tuberculous aortitis is an important differential as it is associated with a high mortality rate. We present a case of a 59-year-old man with a retroperitoneal periaortic mass initially diagnosed as tuberculous aortitis. However following biopsy, the diagnosis was later amended to idiopathic retroperitoneal fibrosis with latent tuberculosis. He was successfully treated with prednisone and methotrexate.