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Case Reports in Urology
Volume 2012, Article ID 793014, 3 pages
http://dx.doi.org/10.1155/2012/793014
Case Report

Renal Solid Mass as a Rare Presentation of Wagener's Granulomatosis: A Case Report

1Department of Urology, Isfahan University of Medical Sciences, Isfahan 81746-75731, Iran
2Department of Pathology, Isfahan University of Medical Sciences, Isfahan 81746-75731, Iran
3School of Medicine, Isfahan University of Medical Sciences, Isfahan 81746-75731, Iran

Received 8 June 2012; Accepted 10 July 2012

Academic Editors: G. L. Gravina, H.-L. Lee, and T. Nomura

Copyright © 2012 Mehrdad Mohammadi Sichani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Wagener's granulomatosis (WG) is a rheumatologic disease with unknown etiology which renal and pulmonary involvement is commonly seen. Renal involvement in Wagener's granulomatosis represents as a segmental necrotizing glomerulonephritis which is not visible with imaging techniques and usually presents with proteinuria, microhematuria, and hypertension. A rare presentation of the disease is a renal mass which can be mistaken as renal tumors, abscess, or lymphoma. We report a 22-year-old female with flank pain and fever who was admitted in our hospital. The patient underwent renal tumor biopsy and diagnosed with Wagener's granulomatosis in pathologic staining. The aim of this work is introduction of Wagener's granulomatosis as a differential diagnosis of renal tumors, to prevent unnecessary interventions and delayed treatment.