Immunoglobulin G4-related gastric pseudotumor – An impostor: Case report
| Autor: | Carlos Rivera, Andrea Suarez Gómez, Manuel Santiago Mosquera, Karen Moreno-Medina, Hugo Herrera, Alejandro González-Orozco |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Clinical course Computed tomography Disease Dysphagia 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Immunoglobulin g4 medicine 030211 gastroenterology & hepatology Surgery Gastrectomy Radiology Presentation (obstetrics) medicine.symptom business |
| Zdroj: | International Journal of Surgery Case Reports. 75:333-337 |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2020.09.057 |
| Popis: | Introduction Gastric pseudotumors are rare entities whose clinical presentation resembles typical gastric neoplasias, often making them unrecognized unless other causes are considered. Presentation of case We present a case report of a patient that debuts with dysphagia, with an abdominal computed axial tomography (CAT) scan revealing a mass at the gastro-esophageal junction suggestive of malignant origin, with studies revealing it to be Immunoglobulin G4-related (IgG4). Discussion The diagnosis and identification of IgG4-related gastric pseudotumors is very complicated, often and most commonly an incidental diagnosis upon histologic analysis, as is the situation in this case. Conclusion Understanding its clinical course and early diagnosis can reduce unwarranted surgical intervention in some patients with IgG4-related disease. |
| Databáze: | OpenAIRE |
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