Pancreatic granulomatous necrotizing vasculitis: a case report and review of the literature.
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.
Tinazzi
Ilaria
I
Dipartimento di Medicina Clinica e Sperimentale, Università di Verona, Verona, Italy.
Caramaschi
Paola
P
Parisi
Alice
A
Faccioli
Niccolò
N
Capelli
Paola
P
Biasi
Domenico
D
D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D019283:Pancreatitis, Acute Necrotizing / Q000209:etiology* / Q000473:pathology