Autoimmune pancreatitis mimicking common bile duct malignancy-Case report

Dezso Kelemen, Róbert Papp, G. Pár, O. Horvath, Barna Bogner

Research output: Contribution to journalArticle

Abstract

Background. Recently autoimmune pancreatitis has been extensively investigated. Despite thorough diagnostic measures, preoperative verification of autoimmune pancreatitis may be very difficult. Case presentation In the present case a 67-year-old female patient was examined for jaundice and abdominal pain. Diagnostic work-up revealed stenosis of the common bile duct without pancreatic mass formation and gallstone disease. Brush cytology raised the suspicion of malignancy, therefore a pylorus-preserving pancreatoduodenectomy was carried out without any complication. Final histological examination proved autoimmune pancreatitis, which was not presumed from the pre- and intraoperative findings. Conclusion It can be concluded that pancreatic resection is the method of choice in uncertain cases, when malignancy can't be excluded.

Original languageEnglish
Pages (from-to)120-123
Number of pages4
JournalSurgical Chronicles
Volume17
Issue number2
Publication statusPublished - 2012

Fingerprint

Common Bile Duct
Pancreatitis
Neoplasms
Pancreaticoduodenectomy
Pylorus
Gallstones
Jaundice
Abdominal Pain
Cell Biology
Pathologic Constriction

Keywords

  • Autoimmune pancreatitis
  • Dysplasia
  • Pancreatoduodenectomy
  • Stenosis of the common bile duct

ASJC Scopus subject areas

  • Surgery

Cite this

Autoimmune pancreatitis mimicking common bile duct malignancy-Case report. / Kelemen, Dezso; Papp, Róbert; Pár, G.; Horvath, O.; Bogner, Barna.

In: Surgical Chronicles, Vol. 17, No. 2, 2012, p. 120-123.

Research output: Contribution to journalArticle

Kelemen, Dezso ; Papp, Róbert ; Pár, G. ; Horvath, O. ; Bogner, Barna. / Autoimmune pancreatitis mimicking common bile duct malignancy-Case report. In: Surgical Chronicles. 2012 ; Vol. 17, No. 2. pp. 120-123.
@article{f714287f99bc4e5e8eefbd5d81d7771c,
title = "Autoimmune pancreatitis mimicking common bile duct malignancy-Case report",
abstract = "Background. Recently autoimmune pancreatitis has been extensively investigated. Despite thorough diagnostic measures, preoperative verification of autoimmune pancreatitis may be very difficult. Case presentation In the present case a 67-year-old female patient was examined for jaundice and abdominal pain. Diagnostic work-up revealed stenosis of the common bile duct without pancreatic mass formation and gallstone disease. Brush cytology raised the suspicion of malignancy, therefore a pylorus-preserving pancreatoduodenectomy was carried out without any complication. Final histological examination proved autoimmune pancreatitis, which was not presumed from the pre- and intraoperative findings. Conclusion It can be concluded that pancreatic resection is the method of choice in uncertain cases, when malignancy can't be excluded.",
keywords = "Autoimmune pancreatitis, Dysplasia, Pancreatoduodenectomy, Stenosis of the common bile duct",
author = "Dezso Kelemen and R{\'o}bert Papp and G. P{\'a}r and O. Horvath and Barna Bogner",
year = "2012",
language = "English",
volume = "17",
pages = "120--123",
journal = "Surgical Chronicles",
issn = "1108-5002",
publisher = "Surgical Society of Northern Greece",
number = "2",

}

TY - JOUR

T1 - Autoimmune pancreatitis mimicking common bile duct malignancy-Case report

AU - Kelemen, Dezso

AU - Papp, Róbert

AU - Pár, G.

AU - Horvath, O.

AU - Bogner, Barna

PY - 2012

Y1 - 2012

N2 - Background. Recently autoimmune pancreatitis has been extensively investigated. Despite thorough diagnostic measures, preoperative verification of autoimmune pancreatitis may be very difficult. Case presentation In the present case a 67-year-old female patient was examined for jaundice and abdominal pain. Diagnostic work-up revealed stenosis of the common bile duct without pancreatic mass formation and gallstone disease. Brush cytology raised the suspicion of malignancy, therefore a pylorus-preserving pancreatoduodenectomy was carried out without any complication. Final histological examination proved autoimmune pancreatitis, which was not presumed from the pre- and intraoperative findings. Conclusion It can be concluded that pancreatic resection is the method of choice in uncertain cases, when malignancy can't be excluded.

AB - Background. Recently autoimmune pancreatitis has been extensively investigated. Despite thorough diagnostic measures, preoperative verification of autoimmune pancreatitis may be very difficult. Case presentation In the present case a 67-year-old female patient was examined for jaundice and abdominal pain. Diagnostic work-up revealed stenosis of the common bile duct without pancreatic mass formation and gallstone disease. Brush cytology raised the suspicion of malignancy, therefore a pylorus-preserving pancreatoduodenectomy was carried out without any complication. Final histological examination proved autoimmune pancreatitis, which was not presumed from the pre- and intraoperative findings. Conclusion It can be concluded that pancreatic resection is the method of choice in uncertain cases, when malignancy can't be excluded.

KW - Autoimmune pancreatitis

KW - Dysplasia

KW - Pancreatoduodenectomy

KW - Stenosis of the common bile duct

UR - http://www.scopus.com/inward/record.url?scp=84866305449&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84866305449&partnerID=8YFLogxK

M3 - Article

VL - 17

SP - 120

EP - 123

JO - Surgical Chronicles

JF - Surgical Chronicles

SN - 1108-5002

IS - 2

ER -