Localized IgG4-related Cholecystitis Mimicking Gallbladder Cancer

Intern Med. 2015;54(15):1869-74. doi: 10.2169/internalmedicine.54.4383. Epub 2015 Aug 1.

Abstract

We encountered a case of localized IgG4-cholecystitis mimicking gallbladder cancer with focal/segmental type1 autoimmune pancreatitis (AIP). In this case, we were unable to exclude a diagnosis of gallbladder cancer and thus performed radical cholecystectomy. Type1 AIP is often associated with gallbladder lesions, accompanied by generally diffuse, circumferential thickening of the gallbladder wall. Although localized IgG4-related cholecystitis is extremely rare, differentiating this condition from gallbladder cancer is often very difficult.

Publication types

  • Case Reports

MeSH terms

  • Anti-Inflammatory Agents / therapeutic use*
  • Biomarkers / metabolism
  • Cholecystectomy / methods*
  • Cholecystitis / diagnosis*
  • Cholecystitis / pathology
  • Cholecystitis / surgery
  • Diagnosis, Differential
  • Female
  • Gallbladder Neoplasms / diagnosis*
  • Gallbladder Neoplasms / pathology
  • Humans
  • Immunoglobulin G / immunology
  • Immunoglobulin G / metabolism*
  • Middle Aged
  • Prednisolone / therapeutic use*
  • Treatment Outcome

Substances

  • Anti-Inflammatory Agents
  • Biomarkers
  • Immunoglobulin G
  • Prednisolone