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An ulcerated gastric ulcer and pseudotumour with pancreatic affectation associated with immunoglobulin G4-related disease: a case report and literature review

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espanolPresentamos el caso de un varon de 67 anos con una ulcera gastrica de 9 anos de evolucion, con clinica de hematemesis y melenas, que a nivel histologico mostro lesiones… Click to show full abstract

espanolPresentamos el caso de un varon de 67 anos con una ulcera gastrica de 9 anos de evolucion, con clinica de hematemesis y melenas, que a nivel histologico mostro lesiones de fibrosis y acumulos de celulas plasmaticas con positividad para inmunoglobulina G4, sin evidencia de malignidad. Esta lesion alcanzaba al pancreas, donde se observaron lesiones histologicas superponibles a las gastricas. El diagnostico final fue el de pseudotumor gastrico ulcerado con afectacion pancreatica por enfermedad relacionada con inmunoglobulina G4. EnglishWe report the case of a 67 year old male who presented with a nine year history of a gastric ulcer with symptoms of hematemesis and melena. Histological analysis identified fibrotic lesions and the accumulation of immunoglobulin G4-positive plasma cells with no evidence of malignancy. The lesion extended into the pancreas, where histological lesions and gastric lesions were also observed. This is a case of an ulcerated gastric ulcer and pseudo-tumor with pancreatic affection that is associated with immunoglobulin G4-related disease.

Keywords: related disease; immunoglobulin related; associated immunoglobulin; case; ulcerated gastric; gastric ulcer

Journal Title: Revista Espanola De Enfermedades Digestivas
Year Published: 2017

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