Two cases of Wegener's granulomatosis with pancreatic pseudocyst treated by endoscopic ultrasonography (EUS)-guided drainage

Wegener's granulomatosis is a systemic vasculitis with prominent involvement of the respiratory tract and kidney. There are 10 patients with Wegener's granulomatosis in the literature who were documented as acute pancreatitis. We present two cases with Wegener's granulomatosis present...

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Bibliographic Details
Published inThe Turkish journal of gastroenterology Vol. 23; no. 2; pp. 175 - 180
Main Authors Sahın, Memduh, Cındoruk, Mehmet, Karakan, Tarkan, Ekıcı, Eyüp
Format Journal Article
LanguageEnglish
Published Turkey 01.04.2012
Subjects
Adult
Drainage
Endoscopy, Digestive System
Female
Granulomatosis with Polyangiitis - complications
Humans
Male
Middle Aged
Pancreatic Pseudocyst - complications
Pancreatic Pseudocyst - therapy
Pancreatitis - etiology
Pancreatitis - therapy
Ultrasonography, Interventional
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Summary:Wegener's granulomatosis is a systemic vasculitis with prominent involvement of the respiratory tract and kidney. There are 10 patients with Wegener's granulomatosis in the literature who were documented as acute pancreatitis. We present two cases with Wegener's granulomatosis presenting with acute pancreatitis and pancreatic pseudocyst. Endosonography-guided drainage of the pancreatic pseudocyst led to rapid clinical improvement. Pancreatic pseudocyst in Wegener's granulomatosis is not reported in the literature, and these are the first cases of Wegener's granulomatosis to be managed by endosonography-guided cyst drainage. The safety of endosonography-guided pancreatic pseudocyst drainage and the clinical features of the previous Wegener's granulomatosis cases with acute pancreatitis are discussed.
ISSN:1300-4948
2148-5607
DOI:10.4318/tjg.2012.0281