Case Report
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World J Gastroenterol. Nov 28, 2014; 20(44): 16782-16785
Published online Nov 28, 2014. doi: 10.3748/wjg.v20.i44.16782
IgG4-related disease manifesting as an acute gastric-pericardial fistula
James Frydman, Shahar Grunner, Yoram Kluger
James Frydman, Shahar Grunner, Yoram Kluger, Department of General Surgery, Rambam Health Care Campus, Haifa 31096, Israel
Author contributions: Frydman J, Grunner S, Kluger Y equally participated in the conception, design, analysis and drafting of this article; Frydman J revised the article critically for important intellectual content; all the authors gave final approval of the version to be published.
Correspondence to: James Frydman, MD, FACS, Department of General Surgery, Rambam Health Care Campus, POB 9602, Haifa 31096, Israel.
Telephone: +972-50-2061886 Fax: +972-4-8543273
Received: March 14, 2014
Revised: May 10, 2014
Accepted: July 24, 2014
Published online: November 28, 2014
Core Tip

Core tip: IgG4-related disease has been an increasingly recognized entity affecting multiple organ systems. Lesions may mimic neoplasms, yet corticosteroid therapy is highly efficacious. In the stomach, manifestations include ulceration and pseudotumor formation. This case report describing a complication of the disease, notably an acute gastric-pericardial fistula has yet to have been described in the medical literature.