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Renal Autotransplantation for Retroperitoneal Fibrosis

Arch Surg. 1982;117(12):1615. doi:10.1001/archsurg.1982.01380360085017.
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To the Editor.—The techniques of renal transplantation and preservation have been extended to renal autotransplantation. This modality has been applied successfully in the treatment of renal tumors, calculous disease, renal trauma, and renovascular disease.1 We herein report a case of retroperitoneal fibrosis treated by this approach.

Report of a Case.—A 55-year-old man was admitted to The Christ Hospital, Cincinnati, in January 1981 because of a rise in serum creatinine level to 9.3 mg/dL and a rise in the serum urea nitrogen level to 69 mg/dL. Four years prior to this admission, the patient's condition was diagnosed as retroperitoneal fibrosis; he was found to have left hydronephrosis and underwent release of a stenotic segment of the left ureter with nephrostomy.

A right retrograde pyelogram showed a stricture at the level of the fifth lumbar vertebra and marked hydronephrosis. An arteriovenous fistula was created in preparation for hemodialysis. On


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