1968 Volume 59 Issue 2 Pages 154-161
A case of idiopathic retroperitoneal fibrosis is reported. This 56-year-old man was admitted to our ward on 12th Nov. 1966 complaining of right flank pain, edema on legs, polydipsia and polyuria. He also noticed impotence. Abdominal examination revealed a mass at right flank. An intravenous pyelogram disclosed underwards displaced hydronephrotic right kidney. Retrograde pyelogram revealed marked narrowing of the mid-ureter of the same side. Inferior vena cava and abdominal lymph channels were also obstructed.
Right ureterolysis was performed through a right lumbar incision. Multiple biopsies of the fibrous tissue developing in the retroperitoneal space showed non-specific inflammation.
Postoperatively, the patient did well.
