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This case could provide key insights into the pathology of IgG4\u2010RD from a surgical perspective. We present a 70\u2010year\u2010old woman who had a right pleural mass. Video\u2010assisted thoracoscopic pleural mass resection was performed, and the patient was diagnosed with right\u2010sided IgG4\u2010related pleuritis. Two years later, she was also diagnosed with left\u2010sided IgG4\u2010related pleuritis. We suspected the presence of IgG4\u2010positive plasma cell infiltration. Additionally, she experienced a complicated postoperative chylothorax on the left side. It is important to consider the altered course of lymphatic vessels when extensively removing the pleura near the right thoracic duct. The occurrence of metachronous bilateral IgG4\u2010associated pleuritis has not been previously reported, making this case particularly significant for understanding the pathology of IgG4\u2010RD from a surgical standpoint.<\/jats:p>","DOI":"10.1002\/rcr2.1204","type":"journal-article","created":{"date-parts":[[2023,8,16]],"date-time":"2023-08-16T16:12:25Z","timestamp":1692202345000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Metachronous bilateral immunoglobulin <scp>G4<\/scp>\u2010related pleuritis: A case report and literature review"],"prefix":"10.1002","volume":"11","author":[{"given":"Keitaro","family":"Tanabe","sequence":"first","affiliation":[{"name":"Division of Thoracic Surgery University of Toyama  Toyama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5117-5570","authenticated-orcid":false,"given":"Takahiro","family":"Homma","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery University of Toyama  Toyama Japan"},{"name":"Division of Thoracic Surgery Kurobe City Hospital  Kurobe Japan"},{"name":"Department of Chest Surgery St. Marianna University School of Medicine  Kawasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shoko","family":"Matsui","sequence":"additional","affiliation":[{"name":"First Department of Internal Medicine University of Toyama  Toyama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoshi","family":"Tsuchiya","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery University of Toyama  Toyama 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