Abstract
Wegener's granulomatosis is a necrotizing vasculitis that may affect any viscera. Gastrointestinal involvement is rather uncommon. We present a case of Wegener's granulomatosis with multiple small bowel ulcers and a single ileal perforation. Histological examination of the surgically resected specimen demonstrated evidence for necrotizing vasculitis. Gross and histological features of the gastrointestinal disease in Wegener's granulomatosis are discussed.
MeSH terms
-
Adrenal Cortex Hormones / administration & dosage
-
Adrenal Cortex Hormones / therapeutic use
-
Adult
-
Biopsy
-
Emergencies
-
Follow-Up Studies
-
Granulomatosis with Polyangiitis / complications*
-
Granulomatosis with Polyangiitis / diagnosis
-
Granulomatosis with Polyangiitis / diagnostic imaging
-
Granulomatosis with Polyangiitis / drug therapy
-
Granulomatosis with Polyangiitis / pathology
-
Granulomatosis with Polyangiitis / surgery
-
Humans
-
Ileal Diseases / diagnosis
-
Ileal Diseases / diagnostic imaging
-
Ileal Diseases / etiology*
-
Ileal Diseases / pathology
-
Ileal Diseases / surgery
-
Ileum / pathology
-
Immunohistochemistry
-
Intestinal Perforation / diagnosis
-
Intestinal Perforation / diagnostic imaging
-
Intestinal Perforation / etiology*
-
Intestinal Perforation / pathology
-
Intestinal Perforation / surgery
-
Laparotomy
-
Male
-
Radiography, Abdominal
-
Time Factors
-
Tomography, X-Ray Computed
-
Ulcer / pathology
-
Ulcer / surgery