The use of modern methods of radiation instrumental diagnostics in the detection of Ormond's disease

  • Authors: Komaristyy D.1, Goncharova A.Y.1
  • Affiliations:
    1. Федеральное Государственное Бюджетное Образовательное Учреждение Высшего Образования "Воронежский государственный медицинский университет имени Н. Н. Бурденко" Министерства Здравоохранения Российской Федерации
  • Issue: Vol 14 (2025): Материалы XXI Международного Бурденковского научного конгресса 24-26 апреля 2025
  • Pages: 513-514
  • Section: Инструментальная диагностика
  • URL: https://new.vestnik-surgery.com/index.php/2415-7805/article/view/10432

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Abstract

Ormond's disease is a rare nonspecific disease characterized by the development of fibroinflammatory tissue around the abdominal aorta, inferior vena cava, with ureteral entrainment and the formation of renal failure phenomena. The relevance of this topic is high due to the fact that cases of Ormond's disease are relatively rare, while the majority of patients are able–bodied men aged 40 to 60 years. Goal. To determine which diagnostic methods are most effective in detecting Ormond's disease. Materials and methods. The basis for the study of domestic and foreign works devoted to the review of clinical cases. Results. CT scans reveal dense tissue with different spreading patterns and certain characteristics of contrast accumulation. During T2-WI MRI, a hyperintensive signal is observed during an active process. At T1-WI, the altered tissue is hypointensive. Contrasting reveals an increase in the portal phase, accumulation in the renal phase with a "rim". The DWI study is a hyperintensive signal, and the ADC is a low–intensity signal, which indicates a true limitation of diffusion. Conclusion. Radiation diagnostic methods are an important component in the diagnosis of retroperitoneal fibrosis. These data are characteristic CT and MRI signs of this pathology and their presence should be used as a prerequisite for further invasive diagnostic and therapeutic measures. Further treatment tactics will also depend on the form of the disease.Keywords: wartime; medicine; German scientists; concentration camp; experiments

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Introduction. Ormond's disease is a rare nonspecific disease characterized by the development of fibroinflammatory tissue around the abdominal aorta, inferior vena cava, with ureteral entrainment and the formation of renal failure phenomena. The relevance of this topic is high due to the fact that cases of Ormond's disease are relatively rare, while the majority of patients are able–bodied men aged 40 to 60 years.
The purpose of the work is to determine which diagnostic methods are most effective in detecting Ormond's disease.
Materials and methods of research. The research is based on domestic and foreign works devoted to the review of clinical cases.
The results of the study. CT scans reveal dense tissue surrounding the abdominal aorta and iliac vessels, often enveloping neighboring structures such as the ureters, while their obstruction develops. There is also a different variation in the level of obturation (the upper segment is affected most often)[1] . There are possible variants with fibrosis of tissues around the pancreas (peripancreatically) with a predominance around the head, body or tail, iliac veins, inferior vena cava. It may be adjacent to the renal veins, surrounding the kidney with its displacement anteriorly. The density of the altered tissue on CT without contrast approaches the density of muscles.[2] During MRI on T2-WI, a hyperintensive signal is observed during an active process when tissue edema is active. At T1-WI, the altered tissue has a hypointensive signal. Contrast enhancement reveals a strong enhancement in the portal phase, a weak one in the renal phase with a peripheral "rim". The DWI study is a hyperintensive signal, while the ADC maps show a low–intensity signal, which indicates a true limitation of diffusion.[3]
Conclusion. Radiation diagnostic methods are an important component in the diagnosis of retroperitoneal fibrosis. These data are characteristic CT and MRI signs of this pathology and their presence should be used as a prerequisite for further invasive diagnostic and therapeutic measures. Further treatment tactics will also depend on the form of the disease.
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About the authors

Denis Komaristyy

Федеральное Государственное Бюджетное Образовательное Учреждение Высшего Образования "Воронежский государственный медицинский университет имени Н. Н. Бурденко" Министерства Здравоохранения Российской Федерации

Author for correspondence.
Email: komarde@yandex.ru
ORCID iD: 0009-0003-9587-8667
Russian Federation

Anna Yurievna Goncharova

Email: goncharova.g02@yandex.ru
ORCID iD: 0000-0002-0719-8078

Assistant of the Department of Instrumental Diagnostics

References

  1. Malignant retroperitoneal fibrosis in lung adenocarcinoma Natalie Uy ∗ , Christina Baik / Malignant retroperitoneal fibrosis in lung adenocarcinoma // Current Problems in Cancer: Case Reports. — 2021. — № 4. — С. 2-4.
  2. A case of IgG4-related retroperitoneal fibrosis with significant involvement of the abdominal aortada clinical and diagnostic challenge Sinead Gormley, MBBCh, BAO,a Paola Tacuri Bravo, MBChB,b Xavier Kos, FRACR,c Kamal Solanki, FRACP,d and Manar Khashram / A case of IgG4-related retroperitoneal fibrosis with significant involvement of the abdominal aortada clinical and diagnostic challenge // Journal of Vascular Surgery Cases, Innovations and Techniques. — 2022. — № 4. — С. 2-6.
  3. Mixed connective tissue disease and idiopathic retroperitoneal fibrosis: A rare but important association Thomas Neerhut * , Alexander Mills, Samuel Davies, Handoo Rhee / Mixed connective tissue disease and idiopathic retroperitoneal fibrosis: A rare but important association // Urology Case Reports . — 2022. — № 42. — С. 1-3.

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