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Published on: June 21, 2024
Wegener's granulomatosis: a rare cause of hydronephrosis
Julien Lillaz1, Stéphane Bernardini, Marie-Paule Algros
1Department of Urology and Renal Transplantation, University Hospital Saint Jacques 2, Place Saint Jacques, 25030 Besançon, France.
Abstract:
A seventy-one-year-old woman was hospitalized at our institution for a right-sided "renal colic" associated with an infectious background. Alithiasic ureterohydronephrosis was diagnosed by imaging. A urinary diversion was thus performed using a double J endoureteral stent. The etiologic assessment of the hydronephrosis showed the presence of a periureteral mass that caused extrinsic ureteral compression. After surgical excision of the ureteral lesion, the Wegener's granulomatosis diagnosis was established. This report is the clinical description of a case of "atypical" Wegener's granulomatosis revealed by the onset of a ureteral disease mimicking a neoplastic process.
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