Involvement of the omentum in Wegener’s granulomatosis

A renal biopsy disclosed focal necrotising intra- and extracapillary glomerulonephritis, with crescents fitting a diagnosis of Wegener's granulomatosis (fig 1). Because of rapid renal and pulmonary deterioration immune suppressive treatment and dialysis were started clinically. [...]diagnosing...

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Bibliographic Details
Published in:Annals of the rheumatic diseases 2003-12, Vol.62 (12), p.1238-1239
Main Authors: Kroot, E J A, Mak, C L P, Boelhouwer, R U, Middelkoop, M P C, Dees, A
Format: Article
Language:English
Subjects:
Abdomen
Aged
Biopsy
Biopsy - methods
Family medical history
Glomerulonephritis - pathology
Granulomatosis with Polyangiitis - pathology
Humans
Kidney - pathology
Letter
Male
omentum
Omentum - pathology
Pain
Peritoneal Diseases - pathology
Wegener’s granulomatosis
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Summary:A renal biopsy disclosed focal necrotising intra- and extracapillary glomerulonephritis, with crescents fitting a diagnosis of Wegener's granulomatosis (fig 1). Because of rapid renal and pulmonary deterioration immune suppressive treatment and dialysis were started clinically. [...]diagnosing haemorrhage is important as other causes of acute abdominal pain-for example, splenic rupture or abscess, perforation of a hollow viscous or ruptured aortic aneurysm, may also need emergency laparotomy. 5 As stated before, this may happen early in the course of the disease or even at onset of the disease, especially in patients with existing severe renal and pulmonary involvement. 1, 5 Although rare, severe necrotising vasculitis of the omentum should be considered in the differential diagnosis of acute abdominal pain in patients with rapidly proceeding Wegener's granulomatosis.
ISSN:0003-4967
1468-2060
DOI:10.1136/ard.2003.012310