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Autoimmune pancreatitis detected as a mass in the tail of the pancreas
Author(s) -
Taniguchi Takao,
Seko Shuji,
Azuma Katsumi,
Tamegai Michiko,
Nishida Osamu,
Inoue Fumihiko,
Okamoto Motozumi,
Mizumoto Takashi,
Kobayashi Hisato
Publication year - 2000
Publication title -
journal of gastroenterology and hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.214
H-Index - 130
eISSN - 1440-1746
pISSN - 0815-9319
DOI - 10.1046/j.1440-1746.2000.02088.x
Subject(s) - autoimmune pancreatitis , medicine , pancreas , pancreatitis , pancreatic duct , corticosteroid , gastroenterology , radiology , anti nuclear antibody , pancreatic disease , pathology , antibody , immunology , autoantibody
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.