Autoimmune pancreatitis detected as a mass in the tail of the pancreas

被引：41

作者：

Taniguchi, T ^{[1
]}

Seko, S ^{[1
]}

Azuma, K ^{[1
]}

Tamegai, M ^{[1
]}

Nishida, O ^{[1
]}

Inoue, F ^{[1
]}

Okamoto, M ^{[1
]}

Mizumoto, T ^{[1
]}

Kobayashi, H ^{[1
]}

机构：

[1] Ohtsu Red Cross Hosp, Dept Internal Med & Radiol, Shiga 5208511, Japan

来源：

JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY | 2000年 / 15卷 / 04期

关键词：

auto-antibody; autoimmune pancreatitis; hypergammaglobulinaemia; pancreatic mass; steroid therapy;

D O I：

10.1046/j.1440-1746.2000.02088.x

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

A mass in the tail of the pancreas was detected in a 62-year-old male patient who had hypergammaglobulinaemia, and was positive for antinuclear antigen and anti-SS-A antibody. Endoscopic retrograde pancreatography revealed focal irregular narrowing of the main pancreatic duct in the tail of the pancreas. Dynamic computed tomography showed swelling of the pancreatic tail, which was enhanced on delayed phase. Autoimmune pancreatitis was suspected and corticosteroid therapy was commenced. This led to significant resolution of the pancreatic stricture. It is important to recognize this clinical entity as corticosteroid therapy may avoid unnecessary surgery. (C) 2000 Blackwell Science Asia Pty Ltd.

引用

页码：461 / 464

页数：4

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