Immunoglobulin G4‐related disease with recurrent obstructive jaundice. Issue 1 (16th April 2015) - Chiu, Yu‐Hsiang
Summary: A 51‐year‐old man was referred to our clinic for recurrent obstructive jaundice and underwent pylorus‐preserving pancreaticoduodenectomy for a suspected malignancy. The pathology showed immunoglobulin G4 positive plasma cell infiltrated at the pancreas and the gallbladder. We discuss the cost‐effectiveness of serum immunoglobulin G4 level prior to arranging for a pancreaticoduodenectomy, which would reduce the possibility of surgical complications as well as costs.