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CASE REPORTS
JOURNAL ARTICLE
A case report of autoimmune pancreatitis associated with a pancreatic pseudocyst.
Medicine (Baltimore) 2018 May
RATIONALE: Autoimmune pancreatitis (AIP) is a special type of chronic pancreatitis, which is rarely associated with pseudocyst.
PATIENT CONCERNS: A 48-year-old man complained of a recurrent upper abdominal pain in our hospital.
DIAGNOSES: A cystic mass of size 4 × 3 cm in his pancreatic tail was found by computed tomography. The concentrations of serum carbohydrate antigen19-9 (81 U/mL) and serum immunoglobulin G4 (181 mg/dL) were elevated.
INTERVENTIONS: The patient received partial pancreatectomy with splenectomy and partial esophagectomy.
OUTCOMES: Further histopathological examination revealed a pseudocyst, significant lymphoplasmatic infiltration, and fibrosis in the pancreas and esophagus. We report a rare case of AIP complicated with a pancreatic pseudocyst and invasion of lower esophagus.
LESSONS: Our study demonstrated that surgical therapy should be considered for the refractory AIP complicated with a pancreatic pseudocyst and invasion of lower esophagus.
PATIENT CONCERNS: A 48-year-old man complained of a recurrent upper abdominal pain in our hospital.
DIAGNOSES: A cystic mass of size 4 × 3 cm in his pancreatic tail was found by computed tomography. The concentrations of serum carbohydrate antigen19-9 (81 U/mL) and serum immunoglobulin G4 (181 mg/dL) were elevated.
INTERVENTIONS: The patient received partial pancreatectomy with splenectomy and partial esophagectomy.
OUTCOMES: Further histopathological examination revealed a pseudocyst, significant lymphoplasmatic infiltration, and fibrosis in the pancreas and esophagus. We report a rare case of AIP complicated with a pancreatic pseudocyst and invasion of lower esophagus.
LESSONS: Our study demonstrated that surgical therapy should be considered for the refractory AIP complicated with a pancreatic pseudocyst and invasion of lower esophagus.
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