Immunoglobulin G4 related pancreaticobiliary disease: Report of two cases highlighting the diagnostic criteria

Indian J Pathol Microbiol. 2019 Jan-Mar;62(1):91-94. doi: 10.4103/IJPM.IJPM_683_17.

Abstract

Two cases of immunoglobulin (IgG4)-related biliary and pancreaticobiliary disease are reported to define its diagnostic features. Case 1 presented with obstructive jaundice and showed IgG4-related disease (RD) involving right and left hepatic duct, common bile duct and gallbladder. Case 2 presented as periampullary mass. Both patients underwent surgical intervention. However, certain clinical and radiological features were present in these cases indicative of the possibility of IgG4-RD.

Keywords: Histological findings; imaging; immunoglobulin--related pancreaticobiliary disease; serum immunoglobulin 4.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Autoimmune Diseases / diagnosis*
  • Bile Ducts / pathology*
  • Cholangitis, Sclerosing
  • Gallbladder / pathology
  • Humans
  • Immunoglobulin G / analysis*
  • Immunohistochemistry
  • Kidney / pathology
  • Male
  • Middle Aged
  • Pancreatic Diseases / diagnosis*
  • Pancreatic Diseases / pathology

Substances

  • Immunoglobulin G