| Autor: |
Kozono, Masaya, Tanoue, Shiroh, Kiyama, Kanna, Jikuya, Kenichi, Kawahira, Machiko, Hinokuchi, Makoto, Iwaya, Hiromichi, Arima, Shiho, Hashimoto, Shinichi, Hiwatashi, Kiyokazu, Fukuda, Yoshio, Sakoda, Masahiko, Higashi, Michiyo, Tokushige, Koichi, Ido, Akio |
| Zdroj: |
Clinical Journal of Gastroenterology; Oct2021, Vol. 14 Issue 5, p1411-1418, 8p |
| Abstrakt: |
A 64-year-old man presented to our hospital with abdominal pain and 4–5 episodes of watery diarrhea per day for 2 months. Abdominal ultrasound examination revealed a mass in the peritoneal cavity, and computed tomography showed a 13.4 cm mass in the mesentery and a 3 cm mass in the mesocolon. The patient underwent laparoscopic partial resection for diagnosis. Microscopically, abundant fibrosis and numerous immunoglobulin (Ig) G4-positive plasma cells were observed. The serum level of IgG4 was 665 mg/dl postoperatively. These findings suggested that the lesion was consistent with IgG4-related sclerosing mesenteritis. Oral steroids resulted in rapid disappearance of symptoms and a decrease in masses. Recently, sclerosing mesenteritis are reported as IgG4-related disease or mimicking IgG4-related disease but multiple lesions rarely occur in the same organ. We report a case of IgG4-related sclerosing mesenteritis with multiple lesions without involvement of other organs, such as the pancreas and salivary glands. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
Full text from SpringerLink