Open AccessAutoimmune pancreatitis presenting as obstructive jaundice
Author(s) -
Nurul Amin Miah,
Tania Mahbub,
Ferdous Jahan,
Mehruba Alam Ananna,
Shohael Mahmud Arafat,
Sultana Jahan
Publication year - 2016
Publication title -
bangabandhu sheikh mujib medical university journal
Language(s) - English
Resource type - Journals
eISSN - 2224-7750
pISSN - 2074-2908
DOI - 10.3329/bsmmuj.v7i1.29155
Subject(s) - medicine , pancreatitis , etiology , autoimmune pancreatitis , gastroenterology , immune system , jaundice , obstructive jaundice , immunology
A 71 years cachexic male presented with sign symptoms of biliary tract obstruction. There was a large mass in the head of pancreases with raised CA 19.9. But elevated serum lipase raised the suspicion of paocreatitis. Elevated immunoglobulin IgG4 confmned this case as a auto immune aetiology. Initially there was much difficulty to differentiate auto immune pancreatitis from pancreatic carcinoma but after successful stenting and a course of corticosteroids, patient improved dramatically along with nonnalisation of all the radiological, bio-chemical and immunological parameters