Abstract
A case of diffuse idiopathic fibrosis involving both mediastinal and retroperitoneal areas is described. This is apparently the second such case reported involving structures above and below the diaphragm. Diagnosis of the condition is helped by obtaining appropriate venograms. The technic of intraosseous venography described by Schobinger, Cooper and Rousselot [II] should permit a definitive evaluation of mediastinal collateral circulation. Medical treatment of this condition is ineffective. Surgical treatment is seldom helpful and carries a high mortality because of intravascular clotting. Naturally developing collateral circulation and a tendency for the disease to be self-limited will usually permit the untreated patient to lead a handicapped life of relatively normal duration.
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