Immunoglobulin G4 Unrelated Idiopathic Mesenteric Sclerosis / 대한소화기학회지
The Korean Journal of Gastroenterology
; : 50-55, 2019.
Article
in Ko
| WPRIM
| ID: wpr-719544
Responsible library:
WPRO
ABSTRACT
Sclerosing mesenteritis is a rare benign disease with a prevalence of 0.16–3.4% and is characterized by chronic nonspecific inflammation and extensive fibrosis in the adipose tissue of the mesentery although the exact pathogenesis is still elusive. A 65-year-old woman was referred with suspicion of an abdominal mass and biliary stones on abdominal ultrasonography and CT. Bile duct stones were confirmed by endoscopic ultrasonography and successfully treated by endoscopic retrograde cholangiography with stone removal. Furthermore, a 4.7 cm conglomerated mass on small intestinal mesentery was suspected as sclerosing mesenteritis based on the features on abdominal MRI. However, because it could not be differentiated from malignancy without histologic examination, laparoscopic excisional biopsy was performed; it showed only inflammatory cells with extensive fibrosis. Therefore, the abdominal mass was confirmed as sclerosing fibrosis and the patient was followed-up without any treatments because no mass-related symptoms accompanied the findings. Six months later, abdominal CT showed no significant change in the mass. Herein, we report a rare case of incidentally found idiopathic sclerosing mesenteritis.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Sclerosis
/
Bile Ducts
/
Biopsy
/
Fibrosis
/
Immunoglobulins
/
Magnetic Resonance Imaging
/
Cholangiography
/
Panniculitis, Peritoneal
/
Tomography, X-Ray Computed
/
Adipose Tissue
Type of study:
Diagnostic_studies
/
Prevalence_studies
Limits:
Aged
/
Female
/
Humans
Language:
Ko
Journal:
The Korean Journal of Gastroenterology
Year:
2019
Type:
Article