Erdheim-Chester disease is a non-langerhans cell histiocytosis. It is a rar
e and plurifocal disease. Retroperitoneal involvement manifests as a mass a
ssociated with fibrosis, which is well visualized on CT scan and MRI. This
disease is characterized by its potential to involve the whole retroperiton
eum. We report a case of this disease that developed over twenty years, con
sisting of renal arteries stenosis, bilateral ureteral stenosis and evoluti
ve adhesive capsulitis.