A Case of Autoimmune Pancreatitis Manifested by a Pseudocyst and IgG4- Associated Cholangitis
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Autoimmune pancreatitis (AIP) is a benign disorder and a unique form of chronic pancreatitis with several characteristic features. A cystic formation that mimics a pseudocyst is a rare fi nding. There have been a few reports of AIP complicated by pancreatic cysts. We present a case of AIP with multiple pseudocysts and obstructive jaundice caused by IgG4-associated cholangitis. We initially missed the diagnosis due to the pseudocyst. Based on the computed tomography images, laboratory fi ndings and the therapeutic response to steroids, the case was diagnosed as AIP with pseudocysts and associated cholangiopathy.
Abstract
Autoimmune pancreatitis (AIP) is a benign disorder and a unique form of chronic pancreatitis with several characteristic features. A cystic formation that mimics a pseudocyst is a rare fi nding. There have been a few reports of AIP complicated by pancreatic cysts. We present a case of AIP with multiple pseudocysts and obstructive jaundice caused by IgG4-associated cholangitis. We initially missed the diagnosis due to the pseudocyst. Based on the computed tomography images, laboratory fi ndings and the therapeutic response to steroids, the case was diagnosed as AIP with pseudocysts and associated cholangiopathy.
참고문헌 (12)
- Sarles H, "Chronic inflammatory sclerosis of the pancreas: an autonomous pancreatic disease?", Am J Dig Dis, 6, pp.688~698 (1961)
- Kawa S, "Clinical features of autoimmune pancreatitis", J Gastroenterol, 42(Suppl 18), pp.9~14 (2007)
- Björnsson E, "Immunoglobulin G4-associated cholangitis", Curr Opin Gastroenterol, 24, pp.389~394 (2008)
- Muraki T, "Corticosteroid-responsive pancreatic cyst found in autoimmune pancreatitis", J Gastroenterol, 40, pp.761~766 (2005)
- Sohn JH, "Abdominal extrapancreatic lesions associated with autoimmune pancreatitis: radiological findings and changes after therapy", Eur J Radiol, 67, pp.497~507 (2008)
- Okazaki K, "Clinical diagnostic criteria of autoimmune pancreatitis: revised proposal", J Gastroenterol, 41, pp.626~631 (2006)
- Yoshida K, "Chronic pancreatitis caused by an autoimmune abnormality. Proposal of the concept of autoimmune pancreatitis", Dig Dis Sci, 40, pp.1561~1568 (1995)
- Kim KP, "Autoimmune chronic pancreatitis", Am J Gastroenterol, 99, pp.1605~1616 (2004)
- Uchida K, "Long-term outcome of autoimmune pancreatitis", J Gastroenterol, 44, pp.726~732 (2009)
- Hirano K, "Long-term prognosis of autoimmune pancreatitis with and without corticosteroid treatment", Gut, 56, pp.1719~1724 (2007)
- Nakazawa T, "Difficulty in diagnosing autoimmune pancreatitis by imaging findings", Gastrointest Endosc, 65, pp.99~108 (2007)
- Kawakami H, "Autoimmune pancreatitis associated with hemorrhagic pseudocysts: a case report and literature review", Intern Med, 47, pp.603~608 (2008)
