Hydronephrosis caused by a relapse of granulomatosis with polyangiitis (Wegener’s)

Azusa UmemotoDepartment of Medicine and Clinical Science, Gunma University Graduate School of Medicine, 3-39-22 Showa, Maebashi, Gunma 371-8511, Japan

Hidekazu IkeuchiDepartment of Medicine and Clinical Science, Gunma University Graduate School of Medicine, 3-39-22 Showa, Maebashi, Gunma 371-8511, Japan

Keiju HiromuraDepartment of Medicine and Clinical Science, Gunma University Graduate School of Medicine, 3-39-22 Showa, Maebashi, Gunma 371-8511, JapanCorrespondence[email protected]

Hiroko HamataniDepartment of Medicine and Clinical Science, Gunma University Graduate School of Medicine, 3-39-22 Showa, Maebashi, Gunma 371-8511, Japan

Noriyuki SakuraiDepartment of Medicine and Clinical Science, Gunma University Graduate School of Medicine, 3-39-22 Showa, Maebashi, Gunma 371-8511, Japan

Toru SakairiDepartment of Medicine and Clinical Science, Gunma University Graduate School of Medicine, 3-39-22 Showa, Maebashi, Gunma 371-8511, Japan

Takayuki MatsumotoDepartment of Medicine and Clinical Science, Gunma University Graduate School of Medicine, 3-39-22 Showa, Maebashi, Gunma 371-8511, Japan

Akito MaeshimaDepartment of Medicine and Clinical Science, Gunma University Graduate School of Medicine, 3-39-22 Showa, Maebashi, Gunma 371-8511, Japan

Takashi KuroiwaDepartment of Medicine and Clinical Science, Gunma University Graduate School of Medicine, 3-39-22 Showa, Maebashi, Gunma 371-8511, Japan

Yoshihisa NojimaDepartment of Medicine and Clinical Science, Gunma University Graduate School of Medicine, 3-39-22 Showa, Maebashi, Gunma 371-8511, Japan

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Abstract

We describe a case of relapsed granulomatosis with polyangiitis (Wegener’s) (GPA) that presented with abdominal pain. ¹⁸F-fluoro-2-deoxy-d-glucose positron emission tomography (FDG-PET)/computed tomography (CT) clearly depicted an inflammation of the left peri-iliac arterial soft tissue, which was thought to be the cause of the ureteral obstruction and hydronephrosis. Our case shows that peri-iliac arterial inflammation occurs in GPA and causes hydronephrosis. In addition, FDG-PET/CT is a useful tool for management of this systemic inflammatory disease.

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Hydronephrosis caused by a relapse of granulomatosis with polyangiitis (Wegener’s)

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Hydronephrosis caused by a relapse of granulomatosis with polyangiitis (Wegener’s)

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