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True statements concerning the diagnosis and management of retroperitoneal fibrosis include:
Most patients present with dull, non-colicky back, flank, or abdominal pain
Evidence of impaired renal function with an elevated blood urea nitrogen is common
The diagnosis is most commonly suggested by intravenous pyelography although contrast studies with CT scan or MRI are useful in further defining the disease
Most patients can be managed nonoperatively
The prognosis for nonmalignant retroperitoneal fibrosis is grim with progression of disease until death occurring in most patients
Category: Surgery MCQs
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