Case Report

Limited-Form Wegener Granulomatosis Case: Anaesthetic Approach and Literature Review

10.5152/TJAR.2014.94809

  • Tuba Berra Sarıtaş
  • Osman Şahin
  • Hale Borazan
  • Şeref Otelcioğlu

Received Date: 30.10.2013 Accepted Date: 30.12.2013 Turk J Anaesthesiol Reanim 2014;42(6):365-367

Wegener granulomatosis (WG) is a kind of vasculitis that affects small and medium-sized arteries. Necrotizing granulomatous vasculitis of the upper and lower respiratory tracts and necrotizing glomerulonephritis of the kidneys are present. WG affects mainly Caucasian individuals between 15-75 years old, with a mean age of onset of 41 years. It affects both males and females equally. Kidney involvement is not present in the limited form of WG. Peripheral nerve blocks are good alternatives when general anaesthesia is risky. Popliteal block is blockade of the sciatic nerve at the popliteal region. Popliteal block is a kind of peripheral block for surgeries below the knee level. In this article, we report on the anaesthesia management of a 61-year-old limited-form WG patient for whom general anaesthesia was risky because of lung involvement.

Keywords: Wegener granulomatosis, ultrasonography, popliteal block