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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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
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author 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
author_facet 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
author_sort Kido, Koyo
collection PubMed
description 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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spelling pubmed-102087902023-05-25 Autoimmune Pancreatitis with Massive Ascites and Multiple Pancreatic Cysts Successfully Treated with Prednisolone 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 Intern Med Case Report 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. The Japanese Society of Internal Medicine 2022-10-05 2023-05-01 /pmc/articles/PMC10208790/ /pubmed/36198587 http://dx.doi.org/10.2169/internalmedicine.0003-22 Text en Copyright © 2023 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
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
Autoimmune Pancreatitis with Massive Ascites and Multiple Pancreatic Cysts Successfully Treated with Prednisolone
title Autoimmune Pancreatitis with Massive Ascites and Multiple Pancreatic Cysts Successfully Treated with Prednisolone
title_full Autoimmune Pancreatitis with Massive Ascites and Multiple Pancreatic Cysts Successfully Treated with Prednisolone
title_fullStr Autoimmune Pancreatitis with Massive Ascites and Multiple Pancreatic Cysts Successfully Treated with Prednisolone
title_full_unstemmed Autoimmune Pancreatitis with Massive Ascites and Multiple Pancreatic Cysts Successfully Treated with Prednisolone
title_short Autoimmune Pancreatitis with Massive Ascites and Multiple Pancreatic Cysts Successfully Treated with Prednisolone
title_sort autoimmune pancreatitis with massive ascites and multiple pancreatic cysts successfully treated with prednisolone
topic Case Report
url 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
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