Ureteral stenosis secondary to Churg-Strauss allergic granulomatous vasculitis
Tremps Velázquez, E.; Ramón Dalmau, M.; García Rojo, D.; Cambra Bonastre, V.; Rodríguez de Ledesma Vega, J.M.
Archivos Espanoles de Urologia 50(1): 82-84
1997
ISSN/ISBN: 0004-0614 PMID: 9182499 Document Number: 476937
Ureteral stenosis secondary to vasculitis is a rare disease. The etiology and treatment of this unusual cause of ureteral obstruction are discussed. We report a case of ureteral obstruction secondary to Churg-Strauss vasculitis in a 45-year-old man. The patient was treated with prednisone and cyclophosphamide. Subsequently ureteral resection and reanastomosis were performed. Vasculitis of the ureter should be considered in patients with connective tissue disorders who present with ureteral dilatation. In some cases ureteral stenosis may require surgery in combination with steroid and/or immunosuppressive therapy.