Isolated IgG4-related sclerosing cholangitis misdiagnosed as malignancy in an area with endemic cholangiocarcinoma: a case report
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- 作者：Narongsak Rungsakulkij ; Pattana Sornmayura ; Penampai Tannaphai
- 关键词：IgG4 ; IgG4 ; related sclerosing cholangitis ; Cholangiocarcinoma ; Benign biliary stricture ; Sclerosing cholangitis
- 刊名：BMC Surgery
- 出版年：2017
- 出版时间：December 2017
- 年：2017
- 卷：17
- 期：1
- 全文大小：5742KB
- 刊物主题：Surgery; Internal Medicine;
- 出版者：BioMed Central
- ISSN：1471-2482
- 卷排序：17
文摘
BackgroundThe most common cause of perihilar obstruction is cholangiocarcinoma, especially in Thailand. Benign perihilar stricture represents less than 20% of cases. IgG4-related disease and IgG4-related sclerosing cholangitis, however, have been receiving increased recognition. Isolated IgG4-related sclerosing cholangitis is less common. The preoperative diagnosis of IgG4-related sclerosing cholangitis without pancreatic involvement is very difficult because the clinical presentation and preoperative evaluation are extremely difficult to distinguish from perihilar cholangiocarcinoma.