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An Immunoglobulin G4-Related Sclerosing Disease of the Small Bowel: CT and Small Bowel Series Findings

  • Ko, Younghwan (Department of Radiology, Hallym University Dongtan Sacred Heart Hospital) ;
  • Woo, Ji Young (Department of Radiology, Hallym University Kangnam Sacred Heart Hospital) ;
  • Kim, Jeong Won (Department of Pathology, Hallym University Kangnam Sacred Heart Hospital) ;
  • Hong, Hye Sook (Department of Radiology, Hallym University Kangnam Sacred Heart Hospital) ;
  • Yang, Ik (Department of Radiology, Hallym University Kangnam Sacred Heart Hospital) ;
  • Lee, Yul (Department of Radiology, Hallym University Kangnam Sacred Heart Hospital) ;
  • Hwang, Daehyun (Department of Radiology, Hallym University Dongtan Sacred Heart Hospital) ;
  • Min, Seon Jeong (Department of Radiology, Hallym University Dongtan Sacred Heart Hospital)
  • 투고 : 2013.03.19
  • 심사 : 2013.06.11
  • 발행 : 2013.09.01

초록

Immunoglobulin G4 (IgG4)-related sclerosing disease is rare and is known to involve various organs. We present a case of histologically proven IgG4-related sclerosing disease of the small bowel with imaging findings on computed tomography (CT) and small bowel series. CT showed irregular wall thickening, loss of mural stratification and aneurysmal dilatation of the distal ileum. Small bowel series showed aneurysmal dilatations, interloop adhesion with traction and abrupt angulation.

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참고문헌

  1. Kamisawa T, Okamoto A. IgG4-related sclerosing disease. World J Gastroenterol 2008;14:3948-3955 https://doi.org/10.3748/wjg.14.3948
  2. Stone JH, Zen Y, Deshpande V. IgG4-related disease. N Engl J Med 2012;366:539-551 https://doi.org/10.1056/NEJMra1104650
  3. Wong DD, Pillai SR, Kumarasinghe MP, McGettigan B, Thin LW, Segarajasingam DS, et al. IgG4-related sclerosing disease of the small bowel presenting as necrotizing mesenteric arteritis and a solitary jejunal ulcer. Am J Surg Pathol 2012;36:929-934 https://doi.org/10.1097/PAS.0b013e3182495c96
  4. Yoshida K, Toki F, Takeuchi T, Watanabe S, Shiratori K, Hayashi N. Chronic pancreatitis caused by an autoimmune abnormality. Proposal of the concept of autoimmune pancreatitis. Dig Dis Sci 1995;40:1561-1568 https://doi.org/10.1007/BF02285209
  5. Kamisawa T, Funata N, Hayashi Y, Eishi Y, Koike M, Tsuruta K, et al. A new clinicopathological entity of IgG4-related autoimmune disease. J Gastroenterol 2003;38:982-984 https://doi.org/10.1007/s00535-003-1175-y
  6. Zen Y, Nakanuma Y. IgG4-related disease: a cross-sectional study of 114 cases. Am J Surg Pathol 2010;34:1812-1819 https://doi.org/10.1097/PAS.0b013e3181f7266b
  7. Cheuk W, Chan JK. IgG4-related sclerosing disease: a critical appraisal of an evolving clinicopathologic entity. Adv Anat Pathol 2010;17:303-332 https://doi.org/10.1097/PAP.0b013e3181ee63ce
  8. Yamamoto H, Yamaguchi H, Aishima S, Oda Y, Kohashi K, Oshiro Y, et al. Inflammatory myofibroblastic tumor versus IgG4-related sclerosing disease and inflammatory pseudotumor: a comparative clinicopathologic study. Am J Surg Pathol 2009;33:1330-1340 https://doi.org/10.1097/PAS.0b013e3181a5a207
  9. Saab ST, Hornick JL, Fletcher CD, Olson SJ, Coffin CM. IgG4 plasma cells in inflammatory myofibroblastic tumor: inflammatory marker or pathogenic link? Mod Pathol 2011;24:606-612 https://doi.org/10.1038/modpathol.2010.226
  10. Kuroiwa T, Suda T, Takahashi T, Hirono H, Natsui M, Motoyama H, et al. Bile duct involvement in a case of autoimmune pancreatitis successfully treated with an oral steroid. Dig Dis Sci 2002;47:1810-1816 https://doi.org/10.1023/A:1016452813815
  11. Kamisawa T, Okamoto A. Autoimmune pancreatitis: proposal of IgG4-related sclerosing disease. J Gastroenterol 2006;41:613-625 https://doi.org/10.1007/s00535-006-1862-6
  12. Hamano H, Arakura N, Muraki T, Ozaki Y, Kiyosawa K, Kawa S. Prevalence and distribution of extrapancreatic lesions complicating autoimmune pancreatitis. J Gastroenterol 2006;41:1197-1205
  13. Choi JW, Kim SY, Moon KC, Cho JY, Kim SH. Immunoglobulin G4-related sclerosing disease involving the urethra: case report. Korean J Radiol 2012;13:803-807 https://doi.org/10.3348/kjr.2012.13.6.803
  14. Fukukura Y, Fujiyoshi F, Nakamura F, Hamada H, Nakajo M. Autoimmune pancreatitis associated with idiopathic retroperitoneal fibrosis. AJR Am J Roentgenol 2003;181:993-995 https://doi.org/10.2214/ajr.181.4.1810993
  15. Zamboni G, Luttges J, Capelli P, Frulloni L, Cavallini G, Pederzoli P, et al. Histopathological features of diagnostic and clinical relevance in autoimmune pancreatitis: a study on 53 resection specimens and 9 biopsy specimens. Virchows Arch 2004;445:552-563 https://doi.org/10.1007/s00428-004-1140-z
  16. Moh IH, Kim JB, Shin SR, Jung SW, Park SH, Kim JW, et al. A case of intraperitoneal immunoglobulin G4-related inflammatory pseudotumor. Korean J Gastroenterol 2012;60:258-261 https://doi.org/10.4166/kjg.2012.60.4.258

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  7. A Suspected Case of IgG4-Related Appendiceal Pseudotumor vol.53, pp.12, 2020, https://doi.org/10.5833/jjgs.2018.0184
  8. European Guideline on IgG4‐related digestive disease - UEG and SGF evidence‐based recommendations vol.8, pp.6, 2013, https://doi.org/10.1177/2050640620934911
  9. Multi-Organ Involvement of Immunoglobulin G4-Related Disease vol.12, pp.3, 2013, https://doi.org/10.3390/gastroent12030033
  10. Autoimmune Diseases of Digestive Organs-A Multidisciplinary Challenge: A Focus on Hepatopancreatobiliary Manifestation vol.10, pp.24, 2013, https://doi.org/10.3390/jcm10245796