[Wegner's granulomatosis with gastrointestinal manifestation: a case report]

ABSTRACT

A 55 year-old man was referred with periumbilical and colicky abdominal pain cutaneous lesions' palpable purpura in extremities and 10 kg weight loss. A 55 cm cavitary mass lesion was seen in the lower lobe of right lung in CXR. Pansinusitis in paranasal CT scan was reported. Intramural hemorrhage in ileum and jejunum in abdominal CT scan was noted. ESR was >100 and C-ANCA was positive. Microscopic hematuria was reported in lab studies.Wegner's granulomatosis was diagnosed and prednisolone plus cyclophosphamide was administered. He was improved dramatically in a few days. After 3 months' he had no symptoms or signs' lab data were normal and lung mass lesion became smaller. After six months' he had deep vein thrombosis in left lower extremity