An Uncommon Expression of Immunoglobulin G4 (IgG4)-Related Disease: Sclerosing Mesenteritis Concomitant With IgG4-Related Autoimmune Pancreatitis.
| Autor: | Bennouna I; Radiology, Centre Hospitalier Interrégional Edith Cavell (CHIREC) Braine l'Alleud, Bruxelles, BEL.; Radiology, Institut Jules Bordet, Bruxelles, BEL., Bali MA; Radiology, Hôpital Universitaire de Bruxelles, Institut Jules Bordet, Brussels, BEL., Gomez Galdon M; Pathology, Hôpital Universitaire de Bruxelles, Institut Jules Bordet, Brussels, BEL., Veron Sanchez A; Radiology, Hôpital Universitaire de Bruxelles, Institut Jules Bordet, Brussels, BEL. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Dec 14; Vol. 15 (12), pp. e50529. Date of Electronic Publication: 2023 Dec 14 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.50529 |
| Abstrakt: | A 63-year-old male presented to our oncological hospital with a one-year evolving abdominal pain, with an abdominal mass feeling. Contrast-enhanced computed tomography displayed two soft tissue masses, one at the mesentery root and the second around the pancreatic tail; at the same time the patient presented with hyperlipasemia. Endoscopic biopsy for the pancreatic mass and surgical biopsy of the mesenteric one were performed in order to narrow diagnosis. No neoplastic cells but only dense fibro-inflammatory changes with immunoglobulin G4 (IgG4)-positive plasma cell inclusions were observed for both biopsies. A diagnostic and therapeutic strategy based on high suspicion of IgG4-related disease was adopted, with good clinical and imaging response to corticotherapy. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Bennouna et al.) |
| Databáze: | MEDLINE |
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