Diagnostic Problems in Retroperitoneal Disease

The UCLA Interdepartmental Conference1 July 1966Diagnostic Problems in Retroperitoneal DiseaseWILLARD E. GOODWIN, M.D., ERIC W. FONKALSRUD, M.D., RALPH GOLDMAN, M.D., JOSEPH J. KAUFMAN, M.D., DONALD C. MARTIN, M.D., JOHN M. RILEY, M.D., CRAIG W. ROE, M.D., ARTHUR E. SCHAPIRO, M.D., JAMES A. WILKERSON, M.D.WILLARD E. GOODWIN, M.D.Search for more papers by this author, ERIC W. FONKALSRUD, M.D.Search for more papers by this author, RALPH GOLDMAN, M.D.Search for more papers by this author, JOSEPH J. KAUFMAN, M.D.Search for more papers by this author, DONALD C. MARTIN, M.D.Search for more papers by this author, JOHN M. RILEY, M.D.Search for more papers by this author, CRAIG W. ROE, M.D.Search for more papers by this author, ARTHUR E. SCHAPIRO, M.D.Search for more papers by this author, JAMES A. WILKERSON, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-65-1-160 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptDr. Willard E. Goodwin: The urologist finds the retroperitoneal space a veritable jungle of strange things; I shall try to give a bird's eye view of some of the conditions which may be confusing from the standpoint of diagnosis.Figure 1 is a urologist's view of the intraperitoneal structures from behind, showing what lies in front of the retroperitoneum. Figure 2 shows a sagittal section made obliquely down through the right side. Note the relationship of the retroperitoneal space and the intraperitoneal organs. Imperfect synapses may cause pain from any one of these structures to be misinterpreted, not only by...References1. GOODWIN WE: Retroperitoneal causes of abdominal pain, in The Differential Diagnosis of Abdominal Pain, edited by MELLINKOFF, S. M. McGraw-Hill Book Co., New York, 1959, p. 255. Google Scholar2. GOODWINTURNER WERD: The surgeon, the urologist and the patient with abdominal pain. Amer. J. Surg. 94: 232, 1957. CrossrefMedlineGoogle Scholar3. GINSBURGOPPENHEIMER LGD: Urological complications of regional ileitis. J. Urol. 59: 948, 1948. CrossrefMedlineGoogle Scholar4. ORMOND JK: Bilateral ureteral obstruction due to envelopment and compression by an inflammatory retroperitoneal process. Ibid., p. 1072. Google Scholar5. ORMOND JK: Idiopathic retroperitoneal fibrosis, an established clinical entity. JAMA 174: 1561, 1960. CrossrefMedlineGoogle Scholar6. UTZROOKESPITTELLBARTHOLOMEW DCEDJALG: Retroperitoneal fibrosis in patients taking methysergide. JAMA 191: 983, 1965. CrossrefMedlineGoogle Scholar7. HACKETT E: Idiopathic retroperitoneal fibrosis, a condition involving the ureters, the aorta, and the inferior vena cava. Brit. J. Surg. 46: 3, 1958. CrossrefMedlineGoogle Scholar8. RAPER FP: Idiopathic retroperitoneal fibrosis involving the ureters. Brit. J. Urol. 28: 436, 1956. CrossrefMedlineGoogle Scholar9. PUGH RC: The pathology of fibrotic lesions. Proc. Roy. Soc. Med. 53: 685, 1960. CrossrefMedlineGoogle Scholar10. QUEMANDEMA GSE: A case of idiopathic retroperitoneal fibrosis presenting as a systematic collagen disease. Amer. J. Med. 36: 320, 1964. CrossrefMedlineGoogle Scholar11. BARRETT NR: Idiopathic mediastinal fibrosis. Brit. J. Surg. 46: 207, 1958. CrossrefMedlineGoogle Scholar12. DE SAINT-EXUPERY A: The Little Prince. Harcourt, Brace & World, Inc., New York, 1943. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: WILLARD E. GOODWIN, M.D.; ERIC W. FONKALSRUD, M.D.; RALPH GOLDMAN, M.D.; JOSEPH J. KAUFMAN, M.D.; DONALD C. MARTIN, M.D.; JOHN M. RILEY, M.D.; CRAIG W. ROE, M.D.; ARTHUR E. SCHAPIRO, M.D.; JAMES A. WILKERSON, M.D.Affiliations: Los Angeles, CaliforniaThis is an edited transcription of an Interdepartmental Clinical Case Conference of the School of Medicine, University of California, Los Angeles, Calif.Requests for reprints should be addressed to Willard E. Goodwin, M.D., Division of Urology, University of California, School of Medicine, Los Angeles, Calif. 90024.*At the conference these were illustrated by slides. 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GUP, M.D., JOSEPH SPANO, M.D. 1 July 1966Volume 65, Issue 1Page: 160-184KeywordsAbdominal painDiagnostic medicine ePublished: 1 December 2008 Issue Published: 1 July 1966 PDF downloadLoading ...