Year 2018 / Volume 110 / Number 3
Case Report
IgG4-related sclerosing mesenteritis, a rare condition that causes abdominal pain

201-203

DOI: 10.17235/reed.2018.5228/2017

María de los Ángeles Mejías Manzano, Claudio Trigo Salado, María Serrano Jiménez, Mariano José Parada Blázquez, Eduardo Leo Carnerero,

Abstract
The identification of IgG4-related disease as a distinct immune-mediated condition encompassing disorders that were traditionally seen as idiopathic has been a revolution in the diagnostic and therapeutic algorithm in several medical fields. This condition usually involves multiple organs (isolated organ involvement is uncommon except in the pancreas) with characteristic histopathological findings. We report a case that was assessed due to abdominal pain and subsequently diagnosed with IgG4-related sclerosing mesenteritis. A comprehensive work-up of the case ruled out other conditions and a diagnosis of IgG4-related sclerosing mesenteritis was made according to radiographic and histopathological criteria.
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References
1. Brito-Zerón P, Bosch X, Ramos-Casals M, et al. IgG4-related disease: Advances In the diagnosis and treatment. Best Pract Res Clin Rheumatol 2016, 30(2): 261-278.
2. Al Zahrani H, Kim TK, Khalili K, et al. IgG4-related disease in the abdomen: a great mimicker. Semin Ultrasound CT MR 2014, 35(3): 240-254.
3. Ardila-Suarez O, Abril A, Gómez-Puerta JA. IgG4-related Disease: A Concise Review of the Current Literature. Reumatol Clin 2017; 13(3): 160-166
4. Chen TS, Montgomery EA. Are tumefactive lesions classified as sclerosing mesenteritis a subset of IgG4 related sclerosing disorders? J Clin Pathol 2008; 61(10): 1093-1097. DOI: 10.1136/jcp.2008.057869
5. Minato H, Shimizu J, Arano Y, et al. IgG4‐related sclerosing mesenteritis: A rare mesenteric disease of unknown etiology. Pathol Int 2012; 62(4): 281-286.
6. Okazaki K, Uchida K, Koyabu M, et al. Recent advances in the concept and diagnosis of autoimmune pancreatitis and IgG4-related disease. J Gastroenterol 2011; 46(3): 277–288.
7. Abe A, Manabe T, Takizawa N, et al. IgG4-related sclerosing mesenteritis causing bowel obstruction: a case report. Surg Case Rep 2016; 2(1): 120.
8. Sharma P, Yadav S, Needham CM, et al. Sclerosing mesenteritis: a systematic review of 192 cases. Clin J Gastroenterol 2017; 10 (2):103–111.
9. Avincsal MO, Otani K, Kanzawa M, et al. Sclerosing mesenteritis: A real manifestation or histological mimic of IgG4‐related disease? Pathol Int 2016; 66(3): 158–163. DOI: 10.1111/pin.12386
10. Vlachou PA, Khalili K, Jang HJ, et al. IgG4-related sclerosing disease: autoimmune pancreatitis and extrapancreatic manifestations. Radiographics 2011; 31(5): 1379-1402.
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Mejías Manzano M, Trigo Salado C, Serrano Jiménez M, Parada Blázquez M, Leo Carnerero E. IgG4-related sclerosing mesenteritis, a rare condition that causes abdominal pain. 5228/2017


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Publication history

Received: 17/08/2017

Accepted: 26/10/2017

Online First: 18/12/2017

Published: 28/02/2018

Article revision time: 50 days

Article Online First time: 123 days

Article editing time: 195 days


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