IgG4-related sclerosing mesenteritis, a rare condition that causes abdominal pain

Rev Esp Enferm Dig. 2018 Mar;110(3):201-203. doi: 10.17235/reed.2017.5228/2017.

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.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology*
  • Abdominal Pain / immunology*
  • Abdominal Pain / surgery
  • Adipocytes / pathology
  • Adrenal Cortex Hormones / therapeutic use
  • Adult
  • Diagnosis, Differential
  • Humans
  • Immune System Diseases / complications*
  • Immune System Diseases / immunology*
  • Immune System Diseases / surgery
  • Immunoglobulin G / immunology*
  • Male
  • Mesentery*
  • Peritoneal Diseases / complications*
  • Peritoneal Diseases / immunology*
  • Peritoneal Diseases / surgery
  • Tomography, X-Ray Computed

Substances

  • Adrenal Cortex Hormones
  • Immunoglobulin G