RT Journal Article
SR Electronic
T1 Image of the month: Ormond's disease: A diagnostic challenge
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 440
OP 441
DO 10.7861/clinmed.2020-0288
VO 20
IS 4
A1 Almond Leung
A1 Haitham M Elasir
A1 Karim M Mahawish
YR 2020
UL http://www.rcpjournals.org/content/20/4/440.abstract
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.