Tinazzi I, Caramaschi P, Parisi A, Faccioli N, Capelli P, Biasi D. Pancreatic granulomatous necrotizing vasculitis: a case report and review of the literature.
Rheumatol Int 2007;
27:989-91. [PMID:
17265156 DOI:
10.1007/s00296-007-0314-9]
[Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2006] [Accepted: 01/01/2007] [Indexed: 02/07/2023]
Abstract
This paper describes a 48-year-old woman admitted to surgical department with mid-epigastric pain. Ultrasonography of the abdomen and magnetic resonance imaging revealed an ipoechoic mass in the head of pancreas suggestive for malignant tumor. She underwent pancreaticoduodenectomy; histologic examination showed a granulomatous inflammation with necrosis and destruction of the wall of small-medium size blood vessels very suggestive for Wegener's granulomatosis (WG). No other visceral involvement was found; test for antineutrophil cytoplasmic antibodies was negative. Initial and symptomatic involvement of pancreas was reported in very few cases of WG.
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