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Ureteral obstruction caused by vasculitis.

L Baskin1, S Mee, M Matthay

  • 1Department of Urology, University of California, San Francisco.

The Journal of Urology
|April 1, 1989
PubMed
Summary
This summary is machine-generated.

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Vasculitis can cause ureteral obstruction. Medical management with corticosteroids and chlorambucil resolved obstruction in one case, while another required surgical intervention.

Area of Science:

  • Nephrology
  • Urology
  • Rheumatology

Background:

  • Ureteral obstruction is a serious condition that can lead to kidney damage.
  • Vasculitis, a group of autoimmune diseases, can affect various organs, including the urinary tract.

Observation:

  • Two cases of ureteral obstruction secondary to vasculitis are presented.
  • Case 1 involved polyarteritis nodosa, and Case 2 involved systemic lupus erythematosus.

Findings:

  • Case 1, with undiagnosed vasculitis preoperatively, underwent ureteral resection and reimplantation.
  • Case 2, managed with chlorambucil and corticosteroids, experienced resolution of ureteral obstruction.

Implications:

  • This highlights the diverse clinical presentations of vasculitis affecting the urinary system.

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  • It suggests that medical management can be effective for vasculitis-induced ureteral obstruction, potentially avoiding surgery.