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Immunoglobulin G4-related gastric pseudotumor - An impostor: Case report
Manuel Santiago Mosquera1, Andrea Suarez Gómez2, Hugo Herrera1
1Fundación Cardioinfantil (FCI), Bogotá, Colombia.
Introduction:
Gastric pseudotumors are rare entities whose clinical presentation resembles typical gastric neoplasias, often making them unrecognized unless other causes are considered.
Presentation Of Case:
We present a case report of a patient that debuts with dysphagia, with an abdominal computed axial tomography (CAT) scan revealing a mass at the gastro-esophageal junction suggestive of malignant origin, with studies revealing it to be Immunoglobulin G4-related (IgG4).
Discussion:
The diagnosis and identification of IgG4-related gastric pseudotumors is very complicated, often and most commonly an incidental diagnosis upon histologic analysis, as is the situation in this case.
Conclusion:
Understanding its clinical course and early diagnosis can reduce unwarranted surgical intervention in some patients with IgG4-related disease.
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