Autoimmune Pancreatitis with Massive Ascites and Multiple Pancreatic Cysts Successfully Treated with Prednisolone

A 64-year-old man with a history of diabetes and gallstones was admitted to our institution with suspected pancreatic malignancy. Computed tomography (CT) revealed multiple pancreatic cysts and massive ascites, and endoscopic ultrasonography (EUS) revealed a 28×27-mm hypoechoic mass in the pancreati...

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Detalles Bibliográficos
Autores principales: Kido, Koyo, Yamada, Reiko, Maegawa, Yuri, Tanaka, Takamitsu, Umeda, Yuhei, Ikenoyama, Yohei, Yukimoto, Hiroki, Shigehuku, Akina, Tsuboi, Junya, Nakamura, Misaki, Katsurahara, Masaki, Hamada, Yasuhiko, Tanaka, Kyosuke, Horiki, Noriyuki, Nakagawa, Hayato
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208790/
https://www.ncbi.nlm.nih.gov/pubmed/36198587
http://dx.doi.org/10.2169/internalmedicine.0003-22
Descripción
Sumario:A 64-year-old man with a history of diabetes and gallstones was admitted to our institution with suspected pancreatic malignancy. Computed tomography (CT) revealed multiple pancreatic cysts and massive ascites, and endoscopic ultrasonography (EUS) revealed a 28×27-mm hypoechoic mass in the pancreatic head. An EUS-guided fine-needle aspiration biopsy was performed, and there were no malignant findings. Based on the test results and imaging findings, type 1 autoimmune pancreatitis was suspected. The patient was administered 30 mg of prednisolone daily. After 11 days, CT revealed that the pancreatic cysts and ascites had reduced in size.

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