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June 7, 1971

Retroperitoneal Fibrosis And Carcinoid Tumor

Author Affiliations

Hanover, NH

JAMA. 1971;216(10):1647-1648. doi:10.1001/jama.1971.03180360093025

To the Editor.—  The association of fibrosis with the carcinoid syndrome1 includes fibrotic lesions of the right side of the heart involving the tricuspid and pulmonic valves,2 gross fibrosis of the peritoneum and mesentery,3 and fibrosis of the bladder wall.4 The possibility that retroperitoneal fibrosis might also be associated with the carcinoid syndrome has been mentioned but, to our knowledge, not specifically documented.5,6

Report of a Case.—  A 57-year-old white man was admitted to Mary Hitchcock Memorial Hospital because of pain in the left flank of three weeks' duration. An intravenous pyelogram had shown nonfunction of the left kidney. Because of hypertension, he had been given 200 mg of rauwolfia daily for six weeks prior to admission. Physical examination yielded nothing remarkable except for minimal tenderness in the left upper quadrant of the abdomen. The blood pressure was 160/90 mm Hg.An x-ray film of