0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Obstructive Pathophysiologic Changes in Retroperitoneal Fibrosis

SIDNEY M. COHEN, MD; ROBERT W. ECKEL, MD; LESTER PERSKY, MD
Arch Surg. 1966;92(5):695-698. doi:10.1001/archsurg.1966.01320230043007.
Text Size: A A A
Published online

THE DIAGNOSIS of idiopathic retroperitoneal fibrosis as described first in the English literature by Ormond in 1948 is being made with increasing frequency.1 As physicians become more aware of this clinical syndrome and its symptom complex, the diagnosis will also be made earlier in the course of the disease. At the present time, over 100 cases have been reported in various journals.

The following case is presented not only as an example of idiopathic retroperitoneal fibrosis, but also as an illustration of the phenomenon of diuresis following the relief of urinary tract obstruction. This diuresis has occurred most commonly following relief of vesical neck obstruction.2-4 The importance of early recognition and proper management of the rapidly changing and shifting body constituents has been stressed repeatedly, for it has been truly said that the fluid and electrolyte imbalance may represent a more immediate threat to life than the underlying

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();