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Autoimmune pancreatitis in a patient with ulcerative colitis. Pancreatic tumor as a deceptive appearance

Authors :
Tibor Wittmann
Klaudia Farkas
Renáta Bor
Anita Bálint
László Tiszlavicz
Zoltán Szepes
Ferenc Nagy
Tamás Molnár
Source :
Orvosi Hetilap. 155:1000-1004
Publication Year :
2014
Publisher :
Akademiai Kiado Zrt., 2014.

Abstract

Pancreatic endocrine and/or exocrine functional disorders can be commonly detected in patients with inflammatory bowel diseases. Autoimmune pancreatitis is a rare disease and its co-existence with inflammatory bowel disease has been rarely reported. The diagnosis of autoimmune pancreatitis is difficult due to variable nonspecific symptoms, and the high rate of asymptomatic cases. The conventional imaging scans (ultrasonography, computed tomography, retrograde cholangiography) are usually not sensitive enough and they are frequently not able to differentiate between inflammatory and malignant tumorous diseases of the pancreas. The authors present the case history of a patient who developed both ulcerative colitis and autoimmune pancreatitis. The morphological changes of the pancreas detected by ultrasonography suggested the presence of pancreatic cancer, and this diagnosis was supported by the elevated level of serum CA19-9. Computed tomography failed to identify abnormalities in the pancreas and, finally, endoscopic ultrasound combined with fine needle aspiration cytology confirmed the diagnosis of autoimmune pancreatitis. Orv. Hetil., 2014, 155(25), 1000–1004.

Details

ISSN :
17886120 and 00306002
Volume :
155
Database :
OpenAIRE
Journal :
Orvosi Hetilap
Accession number :
edsair.doi...........17c1d083555b3d981aa6fc229c8cd653