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Article
December 19, 1959

PERIURETERAL FASCITIS

JAMA. 1959;171(16):2202-2204. doi:10.1001/jama.1959.03010340046011
Abstract

Periureteral fascitis is generally part of a more extensive process, in which retroperitoneal inflammation leads to proliferation of connective tissue to form dense fibrous plaques. The lesion sometimes envelops a ureter; when this happens on both sides the patient experiences the insidious onset of a number of symptoms. These include low back pain, abdominal discomfort, nausea, and vomiting, the only distinctive one being anuria. In the case here described, a man aged 46 had vague pain six months before the anuria appeared. Surgery became necessary, first on the left to establish a nephrostomy and intubate the ureter and later on the other side to free the right ureter from its bed. The patient recovered and was symptom-free five years later.

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