• Gut · Apr 1986

    Case Reports

    Intestinal perforation in Wegener's granulomatosis.

    • J Geraghty, I R Mackay, and D C Smith.
    • Gut. 1986 Apr 1; 27 (4): 450-1.

    AbstractWegener's granulomatosis is a disease characterised by a necrotising vasculitis and granulomatous inflammation. The localised form involves the upper and/or lower respiratory tracts while in the commoner generalised form there is a widespread necrotising vasculitis and renal involvement. Intestinal involvement, which may be severe, has been detected at necropsy in 24% of cases. Gastrointestinal symptoms are uncommon, however, none being mentioned in a recent series of 87 cases. There has been only one reported case of intestinal perforation secondary to Wegener's granulomatosis. We report a case of small and large bowel perforations in a patient with Wegener's granulomatosis.

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