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October 1960

Ormond's Syndrome: A Discussion of the Problem and a Presentation of Three Cases

Author Affiliations

Atlanta; Santa Barbara, Calif.
From the Departments of Surgery and Pathology, Santa Barbara General Hospital and Santa Barbara Cottage Hospital.; Surgical Resident, Veterans Administration Hospital (Dr. Margoles); Director of Departments of Pathology, Santa Barbara General Hospital and St. Francis Hospital (Dr. McQueeney).

Arch Surg. 1960;81(4):660-667. doi:10.1001/archsurg.1960.01300040144028

There has become increasingly more apparent in the medical literature an obstructive uropathic pathological entity which was first described by John K. Ormond1 in 1948. Since then more than three dozen cases have been reported in the world literature with references by a wide array of various descriptive anatomical terms. These are inflammatory retroperitoneal process,1,16,27,30 retroperitoneal fibrosis,2,17,22 periureteric fibrosis,3,21,25 periureteritis plastica,5,12 chronic inflammation of fascia around ureters,6 renal pseudosclerosis,7 idiopathic nonspecific fibrosing retroperitonitis,8 periureteral liposclerosis,9 primary periureteritis,10 periureteritis obliterans,14,36 periureteral fascitis,15 perirenal fascitis,15 Gerota's fascitis,14 periureteral lymphangitis,5 adiponecrosis,11 lipophage granuloma,11 and a retroperitoneal inflammatory mass.34

Any investigator who has attempted to extract a comprehension of this protean disease is soon confronted with the same enigmata which no doubt impressed the author of the following: "Many a clinical reputation is buried beneath the