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10.7759/cureus.2147

http://scihub22266oqcxt.onion/10.7759/cureus.2147
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C5882144!5882144!29632756
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suck abstract from ncbi

pmid29632756      Cureus ä ; 10 (2): ä
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  • A Case of IgG4-related Sclerosing Mesenteritis #MMPMID29632756
  • Butt Z; Alam SH; Semeniuk O; Singh S; Chhabra GS; Tan IJ
  • Cureus ä[]; 10 (2): ä PMID29632756show ga
  • A 60-year-old African-American male presented to the emergency department with abdominal pain and distention associated with decreased appetite and weight loss for several weeks. A computed tomography (CT) scan of the abdomen and pelvis showed an 8 cm mesenteric mass with surrounding stranding and poorly defined borders. The patient underwent exploratory laparotomy and complete resection of the mass since the frozen section could not give a definite diagnosis. Histopathology showed fibro-adipose tissue with lymphoid hyperplasia, vague nodular collections of foamy histiocytes with giant cell reaction, marked chronic inflammation, fat necrosis, and prominent sclerosis/fibrosis. Methenamine silver and acid-fast stains were negative for fungal and mycobacterial organisms respectively. Examination of tissue with immunohistostains showed increased immunoglobulin G4 (IgG4)-positive plasma cells. Other features observed were scattered areas of phlebitis, pockets of tissue eosinophilia, and focal storiform fibrosis leading to the diagnosis of IgG4-related sclerosing mesenteritis. The patient did not require steroids after the surgical resection and was disease free at six-month follow up.
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