Evidence map›Paper›PMID 28202062›Full record

ArticleBMC surgery2017

Isolated IgG4-related sclerosing cholangitis misdiagnosed as malignancy in an area with endemic cholangiocarcinoma: a case report.

Narongsak Rungsakulkij, Pattana Sornmayura, Penampai Tannaphai

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 22 citations in OpenAlex.

  1. IgG4-related Sclerosing Cholangitis Masquerading as Cholangiocarcinoma: A Diagnostic Challenge.Journal of community hospital internal medicine perspectives · 2026
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  9. Atypical presentation of IgGBMJ case reports · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Narongsak RungsakulkijDepartment of Surgery, Ramathibodi Hospital, Mahidol University, Bangkok, 10400, Thailand. narongsak.run@mahidol.ac.th.ORCID http://orcid.org/0000-0003-3522-5800
Pattana SornmayuraDepartment of Pathology, Ramathibodi Hospital, Mahidol University, Bangkok, 10400, Thailand.
Penampai TannaphaiDepartment of Radiology, Ramathibodi Hospital, Mahidol University, Bangkok, 10400, Thailand.
Mahidol University · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe most common cause of perihilar obstruction is cholangiocarcinoma, especially in Thailand. Benign perihilar stricture represents less than 20% of cases. IgG4-related disease and IgG4-related sclerosing cholangitis, however, have been receiving increased recognition. Isolated IgG4-related sclerosing cholangitis is less common. The preoperative diagnosis of IgG4-related sclerosing cholangitis without pancreatic involvement is very difficult because the clinical presentation and preoperative evaluation are extremely difficult to distinguish from perihilar cholangiocarcinoma. CASE PRESENTATION: We report the case of a 56-year-old man who presented with obstructive jaundice with preoperative imaging showing proximal common bile duct obstruction. He underwent right lobe liver hepatectomy with extrahepatic bile duct resection and regional lymph node dissection due to high suspicion of malignancy. The pathological report showed severe acute and chronic inflammation of the bile duct with morphology and immunohistochemistry suggestive of IgG4-related sclerosing cholangitis.

conclusionsIgG4-related sclerosing cholangitis with perihilar obstruction should be considered even in areas where cholangiocarcinoma is endemic.

Indexed as

Bile Duct NeoplasmsBile Ducts, ExtrahepaticCholangiocarcinomaCholangitis, SclerosingDiagnostic ErrorsHepatectomyHumansImmunoglobulin GInflammationJaundice, ObstructiveKlatskin TumorMaleMiddle AgedImmunoglobulin GBenign biliary strictureCholangiocarcinomaIgG4, IgG4-related sclerosing cholangitisSclerosing cholangitis

Identifiers

PMID28202062
PMCPMC5311850
OpenAlexW2588745425

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.