Ureteral stenosis due to recurrent Wegener's granulomatosis after kidney transplantation

The ureter is an unusual location for lesions of Wegener's granulomatosis (WG). A patient in whom recurrence of WG after kidney transplantation was manifested by obstructive uropathy due to granulomatous vasculitis (WG) at the ureterovesicle anastomosis, as well as nasal and lung involvement, i...

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Bibliographic Details
Published in:Journal of the American Society of Nephrology 1994-02, Vol.4 (8), p.1516-1521
Main Authors: Rich, L M, Piering, W F
Format: Article
Language:English
Subjects:
Adolescent
Adult
Arthritis, Rheumatoid - diagnosis
Child
Combined Modality Therapy
Diagnostic Errors
Female
Glomerulonephritis - etiology
Glomerulonephritis - pathology
Glomerulonephritis - surgery
Granulomatosis with Polyangiitis - complications
Granulomatosis with Polyangiitis - diagnosis
Granulomatosis with Polyangiitis - drug therapy
Granulomatosis with Polyangiitis - pathology
Granulomatosis with Polyangiitis - surgery
Humans
Immunosuppressive Agents - therapeutic use
Kidney Glomerulus - pathology
Kidney Transplantation
Lung - pathology
Male
Nose - pathology
Postoperative Complications - etiology
Recurrence
Ureteral Obstruction - etiology
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Summary:The ureter is an unusual location for lesions of Wegener's granulomatosis (WG). A patient in whom recurrence of WG after kidney transplantation was manifested by obstructive uropathy due to granulomatous vasculitis (WG) at the ureterovesicle anastomosis, as well as nasal and lung involvement, is reported. The occurrence of WG in the ureter in relation to the processes causing ureteral obstruction and the recurrences of WG after kidney transplantation and its treatment are briefly reviewed.
ISSN:1046-6673
DOI:10.1681/ASN.V481516