ABSTRACT
Primary or idiopathic retroperitoneal fibrosis, first described by Ormond in 1948, is a rare and elusive diagnosis, requiring a high level of suspicion. Patients usually present with entrapment of retroperitoneal organs, the most common being the ureters, causing hydronephrosis and acute kidney injury. Here, we present the case of a 56-year-old male presenting for recurrent and intermittent scrotal edema. Upon routine laboratory workup, he was found to have an elevated creatinine level. Imaging showed encasement of bilateral ureters. Bilateral ureteral stents were placed with relief of his obstructive uropathy, followed by normalization of creatinine. The patient later underwent laparoscopic release of retroperitoneal adhesions. Biopsies taken from the operative site showed fibroblast proliferation and elements of acute and chronic inflammation. With further workup of etiologies being negative, he was diagnosed with idiopathic retroperitoneal fibrosis.
Subject(s)
Edema/etiology , Genital Diseases, Male/etiology , Retroperitoneal Fibrosis/diagnosis , Scrotum , Adrenal Cortex Hormones/therapeutic use , Creatinine/blood , Diagnosis, Differential , Edema/diagnosis , Genital Diseases, Male/diagnosis , Genital Diseases, Male/therapy , Humans , Laparoscopy , Male , Middle Aged , Recurrence , Retroperitoneal Fibrosis/therapy , Scrotum/pathology , Stents , Tomography, X-Ray Computed , Ureteral Obstruction/diagnosis , Ureteral Obstruction/therapyABSTRACT
Mycobacterium abscessus is a species of rapidly growing mycobacteria (RGM). This species can cause skin and soft tissue infections after trauma or surgical procedures, pulmonary infections and disseminated diseases in immunocompromised patients. It has been rarely documented after tattoo procedures. Herein we describe the case of a 51-year- old man who presented with erythematous papules over a tattoo on the back 10 days after a tattoo session. Culture revealed M. abscessus. Tattoo infections, clinical features and treatment options due to RGM are reviewed.
