机构：[1]Department of Radiology, The First Affiliated Hospital of Kunming Medical University, Kunming,医技科室医学影像中心放射科昆明医科大学附属第一医院[2]Department of Radiology, The First Affiliated Hospital of Dali University, Dali,[3]Department of Ophthalmology, The First Affiliated Hospital of Dali University, Dali, China.
Introduction:Wegener granulomatosis (WG) is a rare idiopathic autoimmune disease causing necrotizing granulomatous vasculitis. Whether as the first symptom or as part of systemic changes, ocular manifestations in WG patients are not specific. Any part of the eyes can be affected, with the anterior segment and orbit most commonly involved. So, early diagnosis and treatment are essential for controlling the progression of the disease and improving the quality of life for patients.Clinical findings/Patient concerns:Here we present a rare case of orbital WG of a 22-year-old woman was admitted to the hospital because of intense pain associated with decreased visual acuity in her right eye since 1 day. She had been previously diagnosed with WG at our hospital.Imaging diagnosis:Orbital computed tomography imaging showed diffuse swelling of intraorbital muscles, and space-occupying lesions were present in both eyes. Most postnasal anatomical structures were absent, appearing as a massive cavity shadow. Orbital magnetic resonance imaging showed a shadow of orbital soft tissues.Conclusion:WG is a serious, fatal disease. Early diagnosis and treatment are essential for controlling the progression of the disease and improving the quality of life for patients.
基金：
Medical Imaging Department, the First Affiliated
Hospital, Dali University, key subjects for medical imaging.
第一作者机构：[1]Department of Radiology, The First Affiliated Hospital of Kunming Medical University, Kunming,[2]Department of Radiology, The First Affiliated Hospital of Dali University, Dali,
共同第一作者：
通讯作者：
通讯机构：[*1]Department of Radiology, The First Affiliated Hospital of Kunming Medical University, Kunming, China
推荐引用方式(GB/T 7714)：
Yang Bin,Yin Zhijian,Chen Shuai,et al.Imaging diagnosis of orbital Wegener granulomatosis: A rare case report[J].MEDICINE.2017,96(23):doi:10.1097/MD.0000000000006904.
APA：
Yang, Bin,Yin, Zhijian,Chen, Shuai,Yuan, Feng,Zhao, Wei&Yang, Yaying.(2017).Imaging diagnosis of orbital Wegener granulomatosis: A rare case report.MEDICINE,96,(23)
MLA：
Yang, Bin,et al."Imaging diagnosis of orbital Wegener granulomatosis: A rare case report".MEDICINE 96..23(2017)
