Immunoglobulin G4 Unrelated Idiopathic Mesenteric Sclerosis.
- Author:
Tae Hyung KWON
1
;
Kwang Bum CHO
;
Hyun Jik LEE
;
Sun Young KWON
;
Yoon Suk LEE
Author Information
- Publication Type:Case Report
- Keywords: Sclerosing mesenteritis; Mesenteric panniculitis; IgG4-related disease
- MeSH: Adipose Tissue; Aged; Bile Ducts; Biopsy; Cholangiography; Endosonography; Female; Fibrosis; Humans; Immunoglobulins*; Inflammation; Magnetic Resonance Imaging; Mesentery; Panniculitis, Peritoneal; Prevalence; Sclerosis*; Tomography, X-Ray Computed; Ultrasonography
- From:The Korean Journal of Gastroenterology 2019;73(1):50-55
- CountryRepublic of Korea
- Language:Korean
- 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.
