A case of immunoglobulin G4-related sclerosing mesenteritis without other organ involvement.
Clin J Gastroenterol
; 14(5): 1411-1418, 2021 Oct.
Article
em En
| MEDLINE
| ID: mdl-34097250
ABSTRACT
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.
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Base de dados:
MEDLINE
Assunto principal:
Paniculite Peritoneal
/
Doença Relacionada a Imunoglobulina G4
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article