Idiopathic Pelvic Fibrosis
Authors: HOKE SHIRLEY
Journal: Annals of Internal Medicine (1967)

Case Studies1 December 1967Idiopathic Pelvic FibrosisReport of a Case with Unusual Histologic and Radiographic FeaturesHOKE SHIRLEY JR., M.D., A. K. GUP, M.D., JOSEPH SPANO, M.D.HOKE SHIRLEY JR., M.D.Search for more papers by this author, A. K. GUP, M.D.Search for more papers by this author, JOSEPH SPANO, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-67-6-1248 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn recent years considerable interest has developed in retroperitoneal fibrosis (1, 2), an uncommon sclerosing disorder that may involve not only the retroperitoneal structures but also pelvic organs (3), mediastinum (4, 5), biliary system, thyroid, and even the orbit. It has been suggested that on occasions it may be multifocal and familial (6). The following case of bilateral ureteral obstruction caused by idiopathic pelvic fibrosis presented striking radiographic and histologic features.CASE REPORTA 47-year-old Negro man was admitted to the Cardiology Service of the Veterans Administration Hospital in New Orleans, on March 21, 1967, for evaluation of hypertension. Seven...References1. ORMOND JK: Bilateral ureteral obstruction due to envelopment and compression by an inflammatory retroperitoneal process. J. Urol. 59: 1072, 1948. CrossrefMedlineGoogle Scholar2. GOODWINFONKALSRUDGOLDMANKAUFMANMARTINRILEYROESCHAPIROWILKERSON WEEWRJJDCJMCWAEJA: The UCLA Interdepartmental Conference: diagnostic problems in retroperitoneal disease. Ann. Intern. Med. 65: 160, 1966. LinkGoogle Scholar3. CORRIEREMACKIEMURPHY JNJAJJ: Retroperitoneal fibrosis presenting with large bowel symptoms: report of two cases. J. Urol. 96: 161, 1966. CrossrefGoogle Scholar4. HACHEWOOLNERBERNATZ LLBPE: Idiopathic fibrous mediastinitis. Dis. Chest 41: 9, 1962. CrossrefMedlineGoogle Scholar5. HACHEUTZWOOLNER LDCLB: Idiopathic fibrous retroperitonitis. Surg. Gynec. Obstet. 115: 737, 1962. MedlineGoogle Scholar6. COMINGSSKUBIVAN EYESMOTULSKY DEKBJAG: Familial multifocal fibrosclerosis. Ann. Intern. Med. 66: 884, 1967. LinkGoogle Scholar7. LEMMONKISER WTWS: Idiopathic retroperitoneal fibrosis: diagnostic enigma: report of a case simulating diabetes insipidus and a review of the literature. J. Urol. 96: 658, 1966. CrossrefMedlineGoogle Scholar8. GRAHAM JR: Methysergide for prevention of headache; experience in five hundred patients over three years. New Eng. J. Med. 270: 67, 1964. CrossrefMedlineGoogle Scholar9. GRAHAMSUBYLECOMPTESADOWSKY JRHIPRNL: Fibrotic disorders associated with methysergide therapy for headache. New Eng. J. Med. 274: 359, 1966. CrossrefMedlineGoogle Scholar10. UTZROOKESPITTELLBARTHOLOMEW DCEDJALG: Retroperitoneal fibrosis in patients taking methysergide. JAMA 191: 983, 1965. CrossrefMedlineGoogle Scholar11. MATHISENHOLTA WAL: Idiopathic retroperitoneal fibrosis. Surg. Gynec. Obstet. 122: 1278, 1966. MedlineGoogle Scholar12. RAPER JP: Idiopathic retroperitoneal fibrosis involving the ureters. Brit. J. Urol. 28: 436, 1956. CrossrefMedlineGoogle Scholar13. HOFFMANTRIPPEL WWOH: Retroperitoneal fibrosis: etiologic considerations. J. Urol. 86: 222, 1961. CrossrefMedlineGoogle Scholar14. ORMOND JK: Idiopathic retroperitoneal fibrosis: a discussion of the etiology. J. Urol. 94: 385, 1965. CrossrefMedlineGoogle Scholar15. REIDBORDHAWK HEWA: Idiopathic retroperitoneal fibrosis and necrotizing vasculitis. Report of a case, with autopsy findings and etiologic considerations. Cleveland Clin. Quart. 32: 19, 1965. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New Orleans, LouisianaFrom the Department of Medicine and the Section of Urology, Department of Surgery, Veterans Administration Hospital and Tulane University School of Medicine, New Orleans, La.Requests for reprints should be addressed to Hoke Shirley, Jr., M.D., Chief Resident, Department of Medicine, University of Miami School of Medicine and Jackson Memorial Hospital, 1700 N.W. 10th Ave., Miami, Fla. 33136. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByA case of simultaneous occurrence of retroperitoneal fibrosis and SAPHO syndrome: is it coincident or correlated?Pelvic Fibrosis — A Rare Variant of Idiopathic Retroperitoneal FibrosisInnovative Surgical Management of Idiopathic Retroperitoneal FibrosisIdiopathic pelvic fibrosis: A variant of retroperitoneal fibrosis?Fasciitis and FibrosisIdiopathic retroperitoneal fibrosisDas PeritoneumDie retroperitoneale Fibrose (Ormond’sche Krankheit)Non-Idiopathic Retroperitoneal Fibrosis 1 December 1967Volume 67, Issue 6Page: 1248-1251KeywordsBiliary systemFibrosisHospital medicineHypertensionSurgeryThyroidUrology Issue Published: 1 December 1967 PDF DownloadLoading ...