Abstract
This paper describes a 48-year-old woman admitted to surgical department with midepigastric pain. Ultrasonography of the abdomen and magnetic resonance imaging revealed an ipoechoic mass in the head of pancreas suggestive for malignant tumor. She underwent pancreaticoduodenectomy; histologic examination showed a granulomatous inflammation with necrosis and destruction of the wall of small-medium size blood vessels very suggestive for Wegener’s granulomatosis (WG). No other visceral involvement was found; test for antineutrophil cytoplasmic antibodies was negative. Initial and symptomatic involvement of pancreas was reported in very few cases of WG.
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Tinazzi, I., Caramaschi, P., Parisi, A. et al. Pancreatic granulomatous necrotizing vasculitis: a case report and review of the literature. Rheumatol Int 27, 989–991 (2007). https://doi.org/10.1007/s00296-007-0314-9
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DOI: https://doi.org/10.1007/s00296-007-0314-9