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Radiology, Vol 122, 339-342, Copyright © 1977 by Radiological Society of North America

ARTICLES

Retroperitoneal fibrosis and inapparent obstructive uropathy

AF Lalli

Emphasis is placed on the minor degree of caliectasis often observed in the presence of severe renal failure in patients with retroperitoneal fibrosis. This finding should suggest the diagnosis in individuals presenting with obscure causes of renal failure. A possible explanation for this is based upon an interference with ureteral dynamics and subsequent interference with normal ureteral peristatic activity rather than mechanical obstruction of the ureter per se. Twenty-one patients with retroperitoneal fibrosis are reported with the usual sex and age distribution (mostly male, aged 40-55 years). Two of the patients are interesting because of associated cardiac disease and 31 had been on prolonged methysergide therapy for migraine headaches. Eighteen patients appeared to be improved or cured and 3 died.


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C. G. Cronin, D. G. Lohan, M. A. Blake, C. Roche, P. McCarthy, and J. M. Murphy
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Case 83: Multifocal Fibrosclerosis with Mediastinal-Retroperitoneal Involvement
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H. H. Ghazle, M. M. Abu-Yousef, B. P. Brown, and T. J. Barloon
Ureteral Encasement and Medial Deviation Demonstrated by Ultrasound in a Case of Retroperitonea1 Fibrosis
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