Granulomatosis with polyangiitis presenting with intestinal obstruction: A case report

INTRODUCTION AND IMPORTANCE: Granulomatosis with polyangiitis is a rare vasculitis. The gastrointestinal symptoms and complications of the disease are rare in GPA patients. One the rarest is intestinal obstruction which when found was always caused by bowel perforation. CASE PRESENTATION: Here we report the case of a 14 years-old female patient who is a known case of granulomatosis with polyangiitis presented with intestinal obstruction without perforation and treated conservatively. DISCUSSION: Gastrointestinal involvement is seen in only 5–10 % of the cases and is a poor prognostic factor. This life-threatening complication could be caused by bowel perforation and as we describe here with bowel inflammation only without perforation. CONCLUSION: Intestinal obstruction without perforations is a new complication of GPA. And conservative management should be considered in the plan of treatment.