Short report
A case of ureteric obstruction, retroperitoneal fibrosis, and
carcinoid tumour
S Deva, S Al-Dujailya, S G Subbuswamyb
a Department of
Urology, Basildon & Thurrock General Hospitals NHS Trust, Orsett
Hospital, Rowley Road, Orsett, Grays, Essex RM16 3EU, UK, b Department of
Histopathology, Basildon & Thurrock General Hospitals NHS Trust,
Basildon Hospital, Nether Mayne, Essex SS16 5NL, UK
Correspondence to: Mr S Al-Dujaily
Accepted 2 September
1998
We report the incidental finding at surgery for retroperitoneal
fibrosis of a carcinoid tumour causing complete right ureteric obstruction. Retroperitoneal fibrosis is an uncommon inflammatory disease that leads to extensive fibrosis throughout the
retroperitoneum. It can occur at any age, peak incidence being in
patients between 40 and 60 years of age. Carcinoid tumours arise from
enterochromaffin or amine precursor uptake and decarboxylation cells
that occur in gastrointestinal tract. Carcinoid tumours are an uncommon
clinical entity and incidence varies with gender and age. No
association between retroperitoneal fibrosis and carcinoid tumour has
been previously reported in the English literature, although one case has been reported in a French journal.
Keywords: retroperitoneal fibrosis; carcinoid tumour; ureteric obstruction
© 1999 by The Fellowship of Postgraduate Medicine
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