Female urinary retention from a huge periurethral mass caused by immunoglobulin G4-related disease (IgG4-RD)

Immunoglobulin G4-related disease is a systemic disease, recognized as extensive T-lymphocyte and IgG4-positive plasma cells. It can present as inflammatory pseudotumor in various organs. A female 75 years old, diagnosed IgG4-related autoimmune pancreatitis, presented with urinary retention. Pelvic...

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Detalles Bibliográficos
Autores principales: Sangsoad, Phadungsak, Ramart, Patkawat, Korpraphong, Pornpim, Rerkpichaisuth, Vilasinee, Pradniwat, Kanapon, Treetipsatit, Jitsupa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Trauma and Reconstruction
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6563226/
https://www.ncbi.nlm.nih.gov/pubmed/31211055
http://dx.doi.org/10.1016/j.eucr.2019.100844
Descripción
Sumario:Immunoglobulin G4-related disease is a systemic disease, recognized as extensive T-lymphocyte and IgG4-positive plasma cells. It can present as inflammatory pseudotumor in various organs. A female 75 years old, diagnosed IgG4-related autoimmune pancreatitis, presented with urinary retention. Pelvic examination showed well-defined, soft tissue mass, bulging from anterior vaginal wall. MRI pelvis demonstrated a huge periurethral mass, size 6.2 × 4.4 × 4.2 cm, encasing the urethra, extending from bladder neck to distal urethra, and mimicking the prostate gland. Tissue biopsy showed compatible with IgG4-related disease. Immunosuppresive drugs were given for few months and the patient could void normally.

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