Wegener's Granulomatosis Presenting as a Ureteral Obstruction.
- Author:
Seung Hun LEE
1
;
Sung Rae KIM
;
Baek Jong SUH
;
Suk Joo AHN
;
Euy Jin CHOI
;
Yoon Sik CHANG
;
Byung Kee BANG
Author Information
1. Catholic University Medical College, Department of Internal Medicine, Korea.
- Publication Type:Case Report
- Keywords:
Wegener's granulomatosis;
Ureter obstruction
- MeSH:
Glomerulonephritis;
Hydronephrosis;
Laparotomy;
Ureter*;
Ureteral Obstruction*;
Vasculitis;
Wegener Granulomatosis*
- From:Korean Journal of Nephrology
1997;16(2):374-378
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In Wegener's granulomatosis, the classical clinical picture is composed of a triad of symptoms: sinusitis-rhinitis, pulmonary lesion and glomerulonephritis with granulomatous lesions and necrotizing vasculitis of involved organs. But localization in retroperitoneal tissue is unusual. In this case, hydronephrosis and ureteral obstruction is the sole presenting symptoms of the disease. At exploratory laparotomy, the right ureter was found to be obstructed by dense, extrinsic fibroinflammatory reaction. There was a necrotizing granulomatous vasculitis in the muscle layer of the ureter.
