J Korean Radiol Soc.  1990 Oct;26(5):1000-1007. 10.3348/jkrs.1990.26.5.1000.

Renal fascial thickening-analysis of CT findings

• Cho OK

• KMID: 2358821
• DOI: http://doi.org/10.3348/jkrs.1990.26.5.1000

Abstract

CT findings of 120 cases of renal fascial thickening were analyzed to appraise the meanings of renal fascialthickening and to seek the findings which are helpful for the differential diagnosis. Causes of fascial thickeningwere 46 inflammation, 40 neoplasms, 17 retroperitoneal hemorrhage and 17 retroperitoneal lymphadenopathy. Sixcases were intraperitoneal pathology including each 3 cases of hepatocellular carcinoma and subhepatic abscess.Incidence of fascial thickening in acute pancreatitis was 35% and almost all of them were complicatedpancreatitis. Ten of 27 pancreatitis and 7 of 17 lymphadenopathy showed bilateral fascial thickening with moretendency to left side. Only right sided thidkening was noted in 6 cases of pancreatitis. Anterior fascialthickening was prominent in anterior pararenal disease but 11 cases of pancreatitis showed posterior fascialthickening too. In renal disease, posterior fascial thickening was more prominent. In pancreatitis andlymphadenopathy, renal fascia was more diffusely thickened but in tumorous condition and renal inflammatorydisease, the thickening was more localized. In anterior pararenal disease the fascia was thickened or blurred onoutside but in renal disease it was inside, so the space where the lesion originated could be suggested. RepeatedCT scans after treatment showed that the degree of thickening improved as the primary disease improved.

MeSH Terms

Carcinoma, Hepatocellular
Diagnosis, Differential
Fascia
Hemorrhage
Inflammation
Lymphatic Diseases
Pancreatitis
Pathology