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Idiopathic Retroperitoneal Fibrosis, Gangrene, Mesenteric Vascular Ischemia, Shrunken Kidney. Treatment ?

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Posted on Fri, 25 May 2012
Question: Female age 45, ht 162, wt 50 kg from new delhi, diagnosed Idiopathic-Retroperitoneal-Fibrosis. Has had jejunal gangrene due to mesenteric vascular ischemia. operated and 72 cm jejunal segment removed on 12 XXXXXXX Left kidney shrink to 8.56 cm, rt 11.9. Both kidney revealed mild HDN Bilat DJS have been placed on 29 XXXXXXX Biopsy obtained from retriperitonial and is awaited. Patient in army hospital, delhi recovering of surgery. Please suggest best doctor to deal with situation.
doctor
Answered by Dr. Dr. Rakhi Tayal (16 minutes later)
Hello,

Thanks for writing to us.

The patient who has had a gangrene of the gut- the removal of the necrosed gut is the only treatment which she has already had.
Retroperitoneal fibrosis with no known cause can involve other retroperitoneal structures also which can be diagnosed only by MRI.
Shrunken left kidney in most of the cases is an inborn error and is difficult to be due to any disease condition. There is usually a compensatory hypertrophy of the opposite kidney associated with it to cope up with the renal function.
Mild hydronephrosis involving both kidneys means that the retroperitoneal fibrosis is affecting both the ureters. More fibrosis can lead to renal failure.
As the disease can be associated with many complications, an expert physician care is needed.
To find a good specialist nearest to your place in Delhi, we have patient written reviews for doctors in our listing, those can guide you for a better doctor. You can search for a doctor in your area at
WWW.WWWW.WW .
OR One of our customer care executives will assist you further in finding a good
doctor. ( YYYY@YYYY )

I hope my answer and recommendations are adequate and helpful. Waiting for your further follow up queries if any.
Regards.
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14039 Questions

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Idiopathic Retroperitoneal Fibrosis, Gangrene, Mesenteric Vascular Ischemia, Shrunken Kidney. Treatment ?

Hello,

Thanks for writing to us.

The patient who has had a gangrene of the gut- the removal of the necrosed gut is the only treatment which she has already had.
Retroperitoneal fibrosis with no known cause can involve other retroperitoneal structures also which can be diagnosed only by MRI.
Shrunken left kidney in most of the cases is an inborn error and is difficult to be due to any disease condition. There is usually a compensatory hypertrophy of the opposite kidney associated with it to cope up with the renal function.
Mild hydronephrosis involving both kidneys means that the retroperitoneal fibrosis is affecting both the ureters. More fibrosis can lead to renal failure.
As the disease can be associated with many complications, an expert physician care is needed.
To find a good specialist nearest to your place in Delhi, we have patient written reviews for doctors in our listing, those can guide you for a better doctor. You can search for a doctor in your area at
WWW.WWWW.WW .
OR One of our customer care executives will assist you further in finding a good
doctor. ( YYYY@YYYY )

I hope my answer and recommendations are adequate and helpful. Waiting for your further follow up queries if any.
Regards.