Case report: A female case of isolated IgG4-related sclerosing cholangitis mimicking cholangiocarcinoma.

Abstract:

RATIONALE:IgG4-related disease is a newly recognized fibroinflammatory disorder, characterized by tumefactive lesions, storiform fibrosis and IgG4-positive plasma cells infiltration. IgG4-related sclerosing cholangitis (IgG4-SC) is the most common extrapancreatic manifestation of IgG4-related disease, but it is frequently associated with autoimmune pancreatitis(AIP). Only few case was reported to be diagnosed with IgG4-SC in the absence of AIP, with a striking male preponderance. Here we report a female case of isolated IgG4 related sclerosing cholangitis mimicking cholangiocarcinoma. PATIENT CONCERNS:A 58-year-old woman complaint of one-month history of jaundice and right upper quadrant discomfort, and the biliary reconstruction showed full-length wall thickening and segmental stenosis. DIAGNOSES:Cholangiocarcinoma was then diagnosed. INTERVENTIONS:Choledochoplasty was performed, followed by Roux-en-Y anastomosis. OUTCOMES:However, pathological examination revealed IgG4-related sclerosing cholangitis (IgG4-SC) and the retrospective measurement of serum IgG4 was 346 mg/dL post-operatively. The patient was followed for another nine monthswithout recurrence. LESSONS:The differential diagnosis between cholangiocarcinoma and IgG4-SC is challenging due to significant overlap of clinical manifestations, lab tests and imaging characteristics. However, as an afterthought of this case, typical cholangiocarcinoma rarely presents full-length wall thickening. What the case taught us was pre-operative IgG4 measurement for patients with long bile duct involvement was highly recommended in order to rule out IgG4-SC.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Xiao J,Li G,Yang G,Jia C,Li B

doi

10.1097/MD.0000000000006542

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

e6542

issue

16

eissn

0025-7974

issn

1536-5964

pii

00005792-201704210-00021

journal_volume

96

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • Montelukast and budesonide combination for children with chronic cough-variant asthma.

    abstract::This study investigated the effectiveness and safety of montelukast combined budesonide (MCB) treatment for children with chronic cough-variant asthma (CCVA).In total, 82 cases of children with CCVA, aged 4 to 11 years were included in this study. All cases received either MCB or budesonide alone between May 2015 and ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011557

    authors: Wang XP,Yang LD,Zhou JF

    更新日期:2018-07-01 00:00:00

  • Erratum: Diagnostic Potential of Zymogen Granule Glycoprotein 2 Antibodies as Serologic Biomarkers in Chinese Patients With Crohn Disease: Erratum.

    abstract::[This corrects the article DOI: 10.1097/MD.0000000000001654.]. ...

    journal_title:Medicine

    pub_type: 已发布勘误

    doi:10.1097/01.md.0000479947.63919.bc

    authors:

    更新日期:2016-01-22 00:00:00

  • Fatal outcome of late-onset angiotensin-converting enzyme inhibitor induced angioedema: A case report.

    abstract:RATIONALE:Angiotensin-converting enzyme (ACE) inhibitors are one of the most used medication among patients with arterial hypertension. In most cases, ACE inhibitors caused side effects are mild; however, from 0.1% to 0.7% of patients can develop life threatening adverse effect, angioedema. Unlike histamine mediated, A...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011695

    authors: Jackeviciute J,Pilvinis V,Pilviniene R

    更新日期:2018-08-01 00:00:00

  • Effects of traditional Chinese exercise on cognitive and psychological outcomes in older adults with mild cognitive impairment: A systematic review and meta-analysis.

    abstract:BACKGROUND:Mild cognitive impairment (MCI) can be a stage of pre-dementia. Although the traditional Chinese exercise (TCE) has benefits associated with cognitive functions, the effects of the TCE on cognitive functions of older patients with MCI remain controversial. This study performs a meta-analysis to quantify the ...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000014581

    authors: Zhang Q,Hu J,Wei L,Cao R,Ma R,Song H,Jin Y

    更新日期:2019-02-01 00:00:00

  • Combined effect of laser acupuncture and electroacupuncture in knee osteoarthritis patients: A protocol for a randomized controlled trial.

    abstract:BACKGROUND:Knee osteoarthritis (KOA) is a common degenerative joint disorder that affects 250 million people globally. KOA can lead to disability and is often associated with cardiovascular disease, poor quality of life, and mortality. The most common treatment for KOA is non-steroidal anti-inflammatory drug administra...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000019541

    authors: Wu SY,Lin CH,Chang NJ,Hu WL,Hung YC,Tsao Y,Kuo CA

    更新日期:2020-03-01 00:00:00

  • Side effects associated with the treatment of multidrug-resistant tuberculosis at a tuberculosis referral hospital in South Korea: A retrospective study.

    abstract::Patients with drug-susceptible tuberculosis (TB) show good tolerance of the medications used and have few side effects. However, medications used to treat multidrug-resistant tuberculosis (MDR-TB) have many known side effects. Here, we studied the occurrence of side effects due to treatment of patients with MDR-TB.We ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000007482

    authors: Yang TW,Park HO,Jang HN,Yang JH,Kim SH,Moon SH,Byun JH,Lee CE,Kim JW,Kang DH

    更新日期:2017-07-01 00:00:00

  • Association between condom use and perspectives on contraceptive responsibility in different sexual relationships among sexually active college students in China: A cross-sectional study.

    abstract::China has increasing incidence of unplanned pregnancies among college students these years. Increasing students' sense of responsibility to protect sexual partners may help reduce the rate of unplanned pregnancies.A self-administered questionnaire was distributed to students from 3 colleges in Sichuan, China. Among th...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000013879

    authors: Long L,Han Y,Tong L,Chen Z

    更新日期:2019-01-01 00:00:00

  • TACE plus percutaneous chemotherapy-lipiodol treatment of unresectable pedunculated hepatocellular carcinoma.

    abstract::Pedunculated hepatocellular carcinoma (P-HCC) is rare type of HCC. The study aimed to evaluate the clinical features and outcomes of unresectable P-HCC treated with transcatheter arterial chemoembolization (TACE) and percutaneous chemotherapeutic agents lipiodol emulsion (CALE) injection. The clinical features and out...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000007650

    authors: Huang D,Chen Y,Chen S,Zeng Q,Zhao J,Wu R,Li Y

    更新日期:2017-07-01 00:00:00

  • Evaluation of the depiction ability of the microanatomy of the temporal bone in quarter-detector CT: Model-based iterative reconstruction vs hybrid iterative reconstruction.

    abstract::Little is known regarding differences between model-based iterative reconstruction (MBIR) and hybrid iterative reconstruction (HIR) in temporal bone computed tomography (CT). This study compared the ability to depict microstructures in temporal bone in quarter-detector CT (QDCT) between MBIR and HIR.Sixty-two temporal...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015991

    authors: Kurokawa R,Maeda E,Mori H,Amemiya S,Sato J,Ino K,Torigoe R,Abe O

    更新日期:2019-06-01 00:00:00

  • Erratum: Blood lead and other metal biomarkers as risk factors for cardiovascular disease mortality: Erratum.

    abstract::[This corrects the article DOI: 10.1097/MD.0000000000002223.]. ...

    journal_title:Medicine

    pub_type: 已发布勘误

    doi:10.1097/MD.0000000000007997

    authors:

    更新日期:2017-09-01 00:00:00

  • Effects of dextrose prolotherapy on tendinopathy, fasciopathy, and ligament injuries, fact or myth?: A systematic review and meta-analysis.

    abstract:OBJECTIVES:Prolotherapy or proliferative therapy is a treatment option for damaged connective tissues involving the injection of a solution (proliferant) which theoretically causes an initial cell injury and a subsequent "proliferant" process of wound healing via modulation of the inflammatory process. Nonetheless, the...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000023201

    authors: Chung MW,Hsu CY,Chung WK,Lin YN

    更新日期:2020-11-13 00:00:00

  • Analysis of the characteristics of optical coherence tomography angiography for retinal cavernous hemangioma: A case report.

    abstract:RATIONALE:Retinal cavernous hemangioma is a rare congenital vascular malformation with typical fundus changes. Optical coherence tomography angiography (OCTA), which is in rise in the recent years, is a rapid and noninvasive technology to assist in obtaining information regarding the blood flow changes in the fundus le...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000009940

    authors: Lyu S,Zhang M,Wang RK,Gao Y,Zhang Q,Min X

    更新日期:2018-02-01 00:00:00

  • Effect of forced-air warming system in prevention of postoperative hypothermia in elderly patients: A Prospective controlled trial.

    abstract:BACKGROUND:Postoperative hypothermia in elderly patients is a well-known serious complication as it impairs wound healing, induces coagulopathy, increases the risk of blood loss, enhances oxygen consumption, and precipitates cardiac arrhythmias. We conducted this randomized controlled trial to evaluate the effect of a ...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000015895

    authors: Xu H,Xu G,Ren C,Liu L,Wei L

    更新日期:2019-05-01 00:00:00

  • Atypical case of posterior reversible encephalopathy syndrome related to late onset postpartum eclampsia: A case report.

    abstract:RATIONALE:Eclampsia, an obstetric emergency frequently seen in pregnant or puerperal women, is a risk factor for posterior reversible encephalopathy syndrome (PRES). Most cases of eclampsia occur postpartum. We report a woman with PRES associated with eclampsia 10 weeks post-delivery, the latest onset ever reported. P...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015187

    authors: Masai K,Ueda Y,Naito H,Tsukahara K,Aokage T,Fujisaki N,Yamamoto H,Nakao A

    更新日期:2019-04-01 00:00:00

  • Clinico-radiologic features of molar-incisor malformation in a case series of 38 patients: A retrospective observational study.

    abstract::Molar-incisor malformation (MIM) is a recently defined dental abnormality of molar root and incisors, and introduced as one of the causes of periapical and periodontal abscess. The purpose of this study was to investigate the clinical and radiological features of MIM, with special emphasis on various medical history. ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017356

    authors: Kim JE,Hong JK,Yi WJ,Heo MS,Lee SS,Choi SC,Huh KH

    更新日期:2019-10-01 00:00:00

  • Uterus-like mass in the right broad ligament: A case report.

    abstract:RATIONALE:Uterus-like masses (ULMs) are rare benign lesions that resemble the uterus. PATIENT CONCERNS:Here, we describe the case of a woman with a ULM in the right broad ligament. A 51-year-old woman with a 2-month history of irregular vaginal bleeding was found to have a mass in the right broad ligament. Imaging stu...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017246

    authors: Liu L,Yang H,Zhang SP

    更新日期:2019-09-01 00:00:00

  • Anthropometric and Quality-of-Life Parameters in Acute Intermittent Porphyria Patients.

    abstract::The porphyrias are a group of rare metabolic disorders. The incidence and prevalence are low because the acute intermittent porphyria (AIP) is rare. Our aim was to assess the use of anthropometric and quality-of-life parameters in porphyric patients in order to identify predictor factors that might help in characteriz...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001023

    authors: Jiménez-Monreal AM,Murcia M,Gómez-Murcia V,Bibiloni MDM,Pons A,Tur JA,Martínez-Tomé M

    更新日期:2015-07-01 00:00:00

  • Characteristics of diabetic nephropathy patients without diabetic retinopathy: A retrospective observational study.

    abstract::The purpose of the current study was to investigate the characteristics of patients with diabetic nephropathy (DN) without diabetic retinopathy (DR).One hundred four patients with biopsy-proven DN, and 52 patients with diabetes mellitus (DM) without DR who were diagnosed as membranous nephropathy by renal biopsy were ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006805

    authors: Li XQ,Zheng X,Chen M,Zhao MH

    更新日期:2017-05-01 00:00:00

  • Hepatoid adenocarcinoma of fallopian tube: A case report and review of the literature.

    abstract:RATIONALE:Hepatoid adenocarcinoma (HAC) of the fallopian tubes is a rare malignant tumor in the female reproductive system. PATIENT CONCERNS:An 81-year-old Chinese woman presented with an elevated serum alpha-fetoprotein (AFP) level. DIAGNOSIS:Positron emission tomography-computed tomography (PET-CT) scan revealed a ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014534

    authors: Li M,Yang K,Wang P

    更新日期:2019-03-01 00:00:00

  • Clinical characteristics and outcome of Spanish patients with ANCA-associated vasculitides: Impact of the vasculitis type, ANCA specificity, and treatment on mortality and morbidity.

    abstract::The aim of this study was to describe the clinical characteristics of ANCA-associated vasculitides (AAV) at presentation, in a wide cohort of Spanish patients, and to analyze the impact of the vasculitis type, ANCA specificity, prognostic factors, and treatments administered at diagnosis, in the outcome.A total of 450...

    journal_title:Medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MD.0000000000006083

    authors: Solans-Laqué R,Fraile G,Rodriguez-Carballeira M,Caminal L,Castillo MJ,Martínez-Valle F,Sáez L,Rios JJ,Solanich X,Oristrell J,Pasquau F,Fonseca E,Zamora M,Callejas JL,Frutos B,Abdilla M,Fanlo P,García-Sánchez I,López-D

    更新日期:2017-02-01 00:00:00

  • Effect of contraindicated drugs for heart failure on hospitalization among seniors with heart failure: A nested case-control study.

    abstract::Little is known about the effect of nonsteroidal anti-inflammatory drugs (NSAIDs), thiazolidinediones (TZDs), nifedipine and nondihydropyridine calcium channel blockers (CCBs) usage on the risk of all-cause hospitalization among seniors with heart failure (HF). We assessed the risk of all-cause hospitalization associa...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006239

    authors: Girouard C,Grégoire JP,Poirier P,Moisan J

    更新日期:2017-03-01 00:00:00

  • Degeneration of corticofugal fibers in a patient with primary progressive freezing gait: A case report.

    abstract:RATIONALE:To report a patient with primary progressive freezing gait (PPFG) whose degeneration of corticofugal tract (CFT) from the supplementary motor area (SMA) was demonstrated using diffusion tensor tractography (DTT). PATIENT CONCERNS:A 66-year-old woman presented with a solitary symptom of a sudden transient bre...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006840

    authors: Seo JP,Chang MC

    更新日期:2017-05-01 00:00:00

  • Measurement of exhaled nitric oxide concentration in patients with obstructive sleep apnea: A meta-analysis.

    abstract:BACKGROUND:Exhaled nitric oxide (eNO) has been proposed as a noninvasive measure of airway inflammation. However, its value in patients with obstructive sleep apnea (OSA) is still controversial. The authors aim to assess the difference in eNO levels between patients with OSA and controls by a meta-analysis. METHODS:A ...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000006429

    authors: Zhang D,Luo J,Qiao Y,Xiao Y,Huang R,Zhong X

    更新日期:2017-03-01 00:00:00

  • Application of point-of-care ultrasound for different types of esophageal foreign bodies: three case reports: A CARE-compliant article.

    abstract:RATIONALE:Esophageal point-of-care ultrasound (POCUS) has recently been reported as a useful, quick, safe, and simple technique to detect esophageal foreign bodies (FBs). However, case series to detect esophageal FB using POCUS have been rarely reported. Chicken bones and pills, especially, have not yet been reported a...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018893

    authors: Ahn JH,Sohn Y

    更新日期:2020-01-01 00:00:00

  • Prognostic role of galectins expression in patients with hepatic cancer: A meta-analysis.

    abstract:OBJECTIVE:The objective of this study was to illustrate the prognostic value of diversified galectins in patients with hepatic cancer via meta-analysis. METHODS:We conducted a systematic search on PubMed, Embase, The Cochrane Library, Web of Science, the Chinese National Knowledge Infrastructure (CNKI) database, and W...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000019622

    authors: Shao Q,He J,Chen Z,Wu C

    更新日期:2020-04-01 00:00:00

  • Intensive Periodontal Treatment Reduces Risk of Infection-Related Hospitalization in Hemodialysis Population: A Nationwide Population-Based Cohort Study.

    abstract::Periodontal disease (PD) is prevalent and correlated with malnutrition and inflammation in patients on hemodialysis (HD). Periodontal therapy improves systemic inflammatory and nutritional markers in HD population. The relationship between intensive PD therapy and clinical infectious outcomes in patients on HD remains...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001436

    authors: Huang ST,Lin CL,Yu TM,Wu MJ,Kao CH

    更新日期:2015-08-01 00:00:00

  • Role of Ginkgo biloba extract as an adjunctive treatment of elderly patients with depression and on the expression of serum S100B.

    abstract:OBJECTIVE:To explore the effect of ginkgo biloba extract (EGb) as an adjunctive treatment of elderly patients with depression and the effect on the expression of serum S100B. METHODS:136 elderly patients with depression were divided into EGb +  citalopram (Cit) group and Cit group equally. Efficacy was evaluated by Ha...

    journal_title:Medicine

    pub_type: 临床试验,杂志文章

    doi:10.1097/MD.0000000000012421

    authors: Dai CX,Hu CC,Shang YS,Xie J

    更新日期:2018-09-01 00:00:00

  • An unusual case report of multiple pulmonary leiomyomatous hamartoma.

    abstract:RATIONALE:Multiple pulmonary leiomyomatous hamartoma (MPLH) is an extremely rare benign disease that mostly occurs in women of reproductive age. PATIENT CONCERNS:A 32-year-old female patient recently diagnosed with multiple bilateral pulmonary nodules. She has the symptoms of dry cough, chest tightness, dyspnea on exe...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016496

    authors: Cheng D,Zhang F,Hu K

    更新日期:2019-07-01 00:00:00

  • Evidence for acupotomology in the management of cervical radiculopathy: A protocol for systematic review and meta-analysis.

    abstract:BACKGROUND:Cervical radiculopathy (CR) describes compression or stimulation secondary to the cervical nerve root, 1 or 2 types of upper limb pain, and/or with neck. In clinical practice, both acupotomology and acupuncture are very widely and popular for the management of CR. So, we conducted a systematic review and met...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000022007

    authors: Dai W,Xie R,Wang X,Zhuang M,Chang X,Wei X,Jin Z,Wang S,Feng M,Yu J,Zhu L

    更新日期:2020-09-04 00:00:00

  • Serum gamma-glutamyl transferase is a predictor of mortality in patients with acute myocardial infarction.

    abstract::Gamma-glutamyl transferase (GGT) is involved in the pathogenesis of atherosclerosis and has been associated with adverse cardiovascular outcomes in patients with ischemic heart disease. However, the association between GGT and long-term mortality has not been studied in patients with acute myocardial infarction (AMI)....

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011393

    authors: Kim JG,Chang K,Choo EH,Lee JM,Seung KB

    更新日期:2018-07-01 00:00:00