Maiden waist deformity

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The maiden waist deformity is a radiologic sign associated with retroperitoneal fibrosis, a condition resulting from the abnormal proliferation of fibrous tissue in the retroperitoneal space. The fibrosis can extend to adjacent anatomical structures, frequently encompassing and obstructing the ureters.[1] This sign refers to the alteration in the normal course of the ureters: when the fibrosis causes both ureters to be pulled medially, they may form the appearance of a "narrow-waisted maiden".[2]

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