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Case Reports
. 2023 Dec;55(S 01):E1108-E1110.
doi: 10.1055/a-2177-3793. Epub 2023 Oct 6.

A case of IgG4-related cholecystitis diagnosed by transpapillary gallbladder biopsy using a novel device delivery system

Yujiro Kawakami  1 , Naohiro Kameyama  1 , Yosuke Hirobe  1 , Yoshiharu Masaki  1 , Ayako Murota  1 , Shintaro Sugita  2 , Hiroshi Nakase  1
Affiliations
Case Reports

A case of IgG4-related cholecystitis diagnosed by transpapillary gallbladder biopsy using a novel device delivery system

Yujiro Kawakami et al. Endoscopy. 2023 Dec.
No abstract available

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Abdominal ultrasonography revealed gallbladder stones and localized wall thickening of the gallbladder fundus.
Fig. 2
Fig. 2
Contrast-enhanced computed tomography revealed thickening of the bile duct wall and localized wall thickening of the gallbladder fundus (arrows).
Fig. 3
Fig. 3
Endoscopic retrograde cholangiography revealed a contrast agent defect at the gallbladder fundus.
Fig. 4
Fig. 4
A targeted biopsy of the gallbladder fundus lesion using biopsy forceps.
Fig. 5
Fig. 5
Histopathology revealed > 10 immunoglobulin G (IgG)4-positive lymphoplasmacytic cells/high-power field, with an IgG4/IgG-positive cell ratio of > 40 %. a Hematoxylin stain × 200. b IgG stain × 200. c IgG4 stain × 200.
See this image and copyright information in PMC

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References

    1. Kamisawa T, Tu Y, Nakajima H et al.Sclerosing cholecystitis associated with autoimmune pancreatitis. World J Gastroenterol. 2006;12:3736–3739. - PMC - PubMed
    1. Watanabe K, Kamisawa T, Chiba K et al.Gallbladder wall thickening in patients with IgG4-related diseases with special emphasis on IgG4-related cholecystitis. Scand J Gastroenterol. 2021;56:1456–1461. - PubMed
    1. Ishigami K, Shitani M, Kimura Y et al.Ectopic relapse of IgG4-related disease presenting as IgG4-related sclerosing cholecystitis: a case report and review of literature. Medicine (Baltimore) 2018;97:e13868. - PMC - PubMed

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