Research Article
Volume 8 Issue 10 - 2021
Splenic Infarction by Wegener’s Disease a Practically Non-Existing Pathology
Mireya De La Fuente González1, Morelos Adolfo García Sánchez2*, Ramón Armando Sánchez Tamayo3, Oswaldo Díaz González4, María Isabel Estrada Rodríguez5, Elizabeth Mendoza Portillo6, Imelda Yasmín Palma Cortés7, Daniel Pérez Nuñez7, José Luis Peralta López7, Roxana Islas Mendoza7, Diego Enrique Martínez Castañeda7, Juan David Martínez Gómez7, Mauricio Israel Flores Pazos7 and José Juan Lozano Nuevo8
1General Surgeon, Surgical Department at “Dr. Gaudencio Gonzalez Garza” General Hospital Specialized Medical Unit, “La Raza”, National Medical Center, Mexican Social Security Institute, National Autonomous University of Mexico, México City, México
2Colonic and Rectal Surgeon and General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, Mexico
3Internal Medicine and y Cardiologist Graduate Specialized Hospital Juárez de México and National Institute of Cardiology of Secretary of Health, National Autonomous University of Mexico, México City, México
4Internal Medicine and Rheumatologist, Department Internal Medicine at Hospital National Medical Center “20 de Noviembre ISSSTE”, National Autonomous University of Mexico, México City, México
5Pediatrist, Pediatrician Department, Regional General Hospital No. 251, Metepec, Mexican Social Security Institute, National Autonomous University of Mexico, México State, México
6Internal Medicine and Critical Medicine Care, Intensive Care Unit Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, Mexico
7General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México
8Internal Medicine, Internal Medicine Department at “Ticoman” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México
*Corresponding Author: Morelos Adolfo García Sánchez, Colonic and Rectal Surgeon and General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, Mexico.
Received: August 17, 2021; Published: September 21, 2021




Abstract

Introduction: Granulomatous Polyangiitis or Wegener's Disease is an extremely rare disease; it is defined as a systemic autoimmune vasculitis. On the other hand, splenic infarction is equally rare and consequent on another pre-established disease.

Objective: Case report and literature review.

Methods and Results: It is the presentation of a 30-year-old male patient with a nonspecific clinical picture but with data of a systemic inflammatory response, with emergency medical attention, where in laboratory and cabinet studies; he undergoes an emergency surgical procedure and the histopathological report confirms the diagnosis as the genesis of splenic infarction.

Discussion: Splenic infarction has been linked to various etiologies, such as cardioembolic, aortic, vascular, anatomic (errant spleen), embolism, septic, autoimmune, neoplastic, hematological, iatrogenic, traumatic, and idiopathic embolisms. There are few published cases, being practically anecdotal. It must be clarified that they are two pathological entities that must be identified and treated differently, arguing their therapy due to their etiology Wegener's granulomatosis and its splenic infarction consequence.

Conclusions: In our country (Mexico), splenic infarction due to granulomatous polyangiitis is practically unknown and/or has not been documented.

Primary treatment should focus on the etiology and solve without delay the consequence of splenic infarction with surgical management as the only option and in an energetic manner.

Keywords: Polyangiitis; Granulomatosis Vasculitis Autoimmune; Heart Attack; Splenic

References

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Citation: Morelos Adolfo García Sánchez., et al. “Splenic Infarction by Wegener’s Disease a Practically Non-Existing Pathology”. EC Gastroenterology and Digestive System 8.10 (2021): 67-71.

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