Wegener`s Granulomatosis of the Ureter Mimicking Ureteral Tumor.
- Author:
Hong Jin SUH
1
;
Dong Hwan LEE
;
Bong Hyeon NAM
;
Joong Ho KIM
;
Jang Min OH
;
Hong Woo RHEE
Author Information
1. Catholic University of Korea, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Wegener`s granulomatosis;
ureter obstruction
- MeSH:
Adult;
Female;
Flank Pain;
Glomerulonephritis;
Hematuria;
Humans;
Hydronephrosis;
Kidney;
Lung;
Respiratory System;
Ultrasonography;
Ureter*;
Urography;
Vasculitis
- From:Korean Journal of Urology
1997;38(5):561-564
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Wegener`s granulomatosis (WG) is a multisystem disorder of unknown origin characterized by necrotizing granulomatous vasculitis. WG usually affects the upper respiratory tract, lungs, and kidneys with focal glomerulonephritis, but almost any organ can be affected. The ureter is primarily an unusual location for lesions of WG. A 30-year-old woman presented with intermittent right flank pain and hematuria. A renal ultrasound demonstrated unilateral hydronephrosis and a retrograde pyelography revealed a filling defect at right mid ureter and a computed tomography displayed marked concentric thickening of the right ureteral wall which was mimicking ureteral tumor. At nephroureterectomy, the right ureter was found to be obstructed by dense, intramural fibroinflammatory reaction. There was a necrotizing granulomatous vasculitis in the muscle layer of the ureter. Our case represents the rare occurrence of WG presenting ureteral bstruction.
