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

• Main Authors: María Isabel Ortuño-Moreno, Belén Ferri-Ñíguez, Enrique Martínez-Barba, Juan Ángel Fernández-Hernández
• Format: Article
• Language: English
• Published: Aran Ediciones
• Series: Revista Espanola de Enfermedades Digestivas
• Subjects: Inmunoglobulina G4; Pseudotumor gástrico; Úlcera gástrica
• Online Access: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082017001200013&lng=en&tlng=en

We 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.