Asymptomatic splenic infarct and retroperitoneal sepsis in patient with Wegener's granulomatosis.

International Journal of Surgery Case Reports
James C LeeAhmad Aly

Abstract

We present a patient with an unusual combination of surgical findings, complicated by both a medical condition and the treatment there of. A 52 year-old man with Wegener's granulomatosis presented with groin pain and sepsis while on immunosuppressive therapy. Large retroperitoneal abscesses were found on CT scanning, together with a collapsed left lower lobe of the lung, a complete infarct of the spleen, and evidence of diverticulosis. At the exploratory laparotomy, the infarcted spleen was removed and the retroperitoneal abscesses were drained via a separate lateral incision. Uncomplicated diverticular disease were also confirmed. The left lower lobe collapse, infarcted spleen and diverticular disease were all potential sources of the sepsis, but none of them could be clearly linked to the abscesses. The splenic infarct and a post-operative myocardial infarct were likely related to his vasculitic disease. Patients with systemic vasculitis may present with unusual pathologies, and immunosuppressive treatment may also modify clinical presentation.

References

Feb 1, 1996·British Journal of Rheumatology·T M Lawson, B D Williams
Jun 1, 2000·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·S Hafezi-RachtiH D Rupprecht
Jan 18, 2002·Annals of the Rheumatic Diseases·D PapaioannidesN K Akritidis

❮ Previous
Next ❯

Citations

Jun 14, 2016·Case Reports in Rheumatology·Mohammad E NaffaaAlexandra Balbir-Gurman

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.

Related Papers

Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases
K S SteenA E Voskuyl
Journal of Vascular Surgery
Nikolaos BessiasVassilios Andrikopoulos
Expert Opinion on Biological Therapy
Roy FleischmannImran Iqbal
© 2022 Meta ULC. All rights reserved