3

1) Ormond, J.K.: Bilateral ureteral obstruction due to envelopment and compression by an inflamm atory retroperitoneal process. J. Urol.59: 1072-1079, 1948. (40)

Cleveland Clin. Quart. 32 : 19-27, 1965. 3) Koep, L. and Zuidema, G.D.e The clinical sign 12) Hellstrom, H.R. and Perez-Stable lf.c.: R.etro ificance of retroperitoneal fibrosis. Surgery, 81: 250-257, 1977. 4) Ormond, J.K.. A classification of retroperitoneal fibrosis. Urol. Survey 25 a 53-57, 1975. 5) Zeek, P.M. e Periarteritis nodosa A A critical review. Am. J. Glin. Path. 22: 777-790,1952. 6) Heptinstall, R.H. a Pathology of the Kidney. Boston Little, Brown, 1974. and probable 8) Kondo, Y., Shigematsu, H. and Kobayashi,Y.: Cellular aspects of rabbit Masugi nephritis II Progressive glomerular injuries with crescent formation. Lab.Invest. 27: 620-631, 1972. 9) Morita, T., Suzuki, Y., and Churg J.: Structure and development of the glomerular crescent. Am. J. Pathol.72:349-368, 1973. 10) Lemmon, W.Ta and Kiser, WS.: Idiopathic retroperitoneal fibrosis : diagnostic enigma:re port of a case simulating diabetes insipidus and a review of the literature. J. Urol. 96 : 658-667, 1966. 11) Reidbord, HE. and Hawk, WA.: Idiopathic retroperitoneal fibrosis and necritizing vasculitis. peritoneal fibrosis with disseminated vasculitis and intrahepatic sclerosing cholangitis. Am. J. Vied. 40: 184-187, 1966. 13) Que, G.S. and Mandema, E.: A case of idiopa this retroperitoneal fibrosis presenting as a systemic collagen disease. Am. J. Med. 36 : 320-329,1964. 14) Lipman, R.L., Johnson, B., Berg. G. and Sh apiro, A.P.: Idiopathic retroperitoneal fibrosis systemic lupus erythematosus. J. A. M. A. 196 :1022-1024,1966. 15) Graham, J.R., Suby H.I., Le Compte P.R. and Sadowsky, N.L.: Fibrotic disorders associated with methysergide therapy for headache. New Engl. J. Med. 274 : 359-368, 1966. 16) Lewis, CT, Molland, E.A., Marshall, V.R., Tresidder, G.C. and Bland, JP. : Analgesic abuse, ureteric obstruction, and retroperitoneal fibrosis. Brit. Med. J. 12:76-78, 1975. 17) Dawborn, J.K., Fairley, K.F., Kincaid-Smith, P. and King, W.E.: The association of peptic ulceration, chronic renal disease, and analgesic abuse. Quart. J. Med. 35, 69-83,1966. ( 41)

An Autopsy Case of Idiopathic Retroperitoneal Fibrosis with Vasculitis Motoaki Sano, Haruo Suzuki, Shizuo Tojo, Shori Kano, Ryuichi Kitagawa, and Takesahuro Ogata* Institute o f Clinical Medicine, *Institute of Fundanental Medicine, The University of Tsukuba, A case (52yrs, female) of idiopathic tetroperitoneal fibrosis that developed rapidly progressive glomerulonephritis in the course of the disease was reported. Autopsy showed disseminated vasculitis of small arteries in various organs (esophagus, trachea, heart, liver, spleen and adrenal gland) and extracapillary proliferative-crescentic-glomerulonephritis with focal segmental :necrotizing glomerulitis in addition to idiopathic retroperitoneal fibrosis. By an analysis of the clinical course, these lesions of the vessels and kidney were assumed to have been developed on the basis of hypersensitivity angii.tis induced by contrast medium (Iodine). The possibility that vasculitis bore an etiologic relationship to idiopathic retroperitoneal fibrosis was discussed. (42)