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Immunoglobulin G4 비관련 특발성 경화성 장간막염

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Affiliated Author(s)
조광범이현직권선영
Alternative Author(s)
Cho, Kwang BumLee, Hyun JikKwon, Sun Young
Journal Title
Korean Journal of Gastroenterology
ISSN
2233-6869
Issued Date
2019
Keyword
Sclerosing mesenteritisMesenteric panniculitisIgG4-related disease
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
Alternative Title
Immunoglobulin G4 Unrelated Idiopathic Mesenteric Sclerosis
Department
Dept. of Internal Medicine (내과학)
Dept. of Pathology (병리학)
Publisher
School of Medicine (의과대학)
Citation
Tae Hyung Kwon et al. (2019). Immunoglobulin G4 비관련 특발성 경화성 장간막염. Korean Journal of Gastroenterology, 73(1), 50–55. doi: 10.4166/kjg.2019.73.1.50
Type
Article
ISSN
2233-6869
DOI
10.4166/kjg.2019.73.1.50
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41917
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. School of Medicine (의과대학) > Dept. of Pathology (병리학)
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