Autoimmune pancreatitis / Pancreatitis autoinmunitaria
Rev. colomb. reumatol
;
21(1): 46-50, ene.-mar. 2014. ilus, tab
Article
in English
| LILACS
| ID: lil-715357
ABSTRACT
We report the case of a 70-year-old male with chronic abdominal pain, who presented with increased intensity of the pain, and was initially diagnosed and treated for acute biliary pancreatitis. However, the symptoms persisted after hospital discharge, and he was subsequently studied with cholangio-MRI, abdominal CT scan, and ERCP, which revealed dilation of the biliary tract and a mass in the head of the pancreas. An excisional biopsy of the lesion showed chronic inflammation with severe sclerosing fibrosis and a lymphoplasmacytic infiltrate. A diagnosis of autoimmune pancreatitis was made, and the patient was initiated on azathioprine with good clinical response.
RESUMEN
Presentamos el caso de un varón de 70 años con dolor abdominal crónico, que se presenta con aumento de este; se le diagnostica y se lo trata inicialmente como cuadro de pancreatitis biliar. A pesar del manejo inicial, los síntomas persisten después de la primera hospitalización, y se estudia con tomografía computarizada de abdomen, colangiorresonancia y colangiopancreatografía retrograda endoscópica, estudios en los cuales se detecta dilatación de la vía biliar y masa en la cabeza del páncreas. Se llevó a cabo biopsia excisional, que demuestra inflamación crónica con intensa fibrosis e infiltrado linfocitario. Se hace diagnóstico de pancreatitis autoimmunitaria y se inicia azatioprina, con adecuada respuesta.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Cholelithiasis
/
Abdominal Pain
Limits:
Humans
Language:
English
Journal:
Rev. colomb. reumatol
Journal subject:
Rheumatology
Year:
2014
Type:
Article
Affiliation country:
Colombia
Institution/Affiliation country:
Hospital Universitario Clínica San Rafael/CO
/
Pontificia Universidad Javeriana/CO
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