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Current Case:

67-years old lady with fever presented with soft tissue encasing the thoraco-abdominal aorta.

Peri-aortic soft tissue

This pattern of disease is most common with idiopathic fibrosis, IgG4-related disease.

The rheumatologist and physician, both wanted histopath proof.

I have shown one similar case before.

Case 89: Biopsy of Retroperitoneal Fibrosis
Biopsy of retroperitoneal fibrosis is possible under CT guidance

I decided to use a prone approach from the left.

The video describes the case, the final diagnosis, 4 other similar cases, one with an anterior approach with one new reference.