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Case Report
Autoimmune pancreatitis: A challenging diagnosis
1 MD, Department of General Surgery, Hospital Metropolitano, Quito, Ecuador
2 Department of Internal Medicine, Division of Radiology, Quito, Ecuador
3 MD, Department of General Surgery, Attending Surgeon, PUCE, Quito, Ecuador
4 MD, Attending, Surgeon, Iess Quito Sur and Digeslap Center, Quito, Ecuador
Address correspondence to:
Gabriel A Molina
MD, Attending Surgeon, Iess Quito Sur and Digeslap Center, Quito,
Ecuador
Message to Corresponding Author
Article ID: 100041S05FS2020
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How to cite this article
Serpa FI, Armijos CA, Cueva ML, Burbano CE, Molina GA. Autoimmune pancreatitis: A challenging diagnosis. Edorium J Surg 2020;7:100041S05FS2020.ABSTRACT
Autoimmune pancreatitis (AIP) is a rare form of chronic pancreatitis. However, due to its wide spectrum of clinical and radiological characteristics, it can mimic pancreatic malignancies that could expose patients to unnecessary therapies if it is misdiagnosed. Unlike pancreatic malignancies, AIP adequately responds to steroid therapies. Diagnosis is challenging as pathological samples are usually needed to confirm the diagnosis. A high index of suspicion is needed as the diagnosis of AIP can easily be missed. We present the case of a 54-year-old patient, who presented with weight loss, abdominal pain, and asymptomatic jaundice. A pancreatic malignancy was suspected after an abdominal computed tomography (CT). Nonetheless, after a careful examination, AIP was detected and treated.
Keywords: Autoimmune pancreatitis, IgG4, Pancreas, Pancreatitis, Steroids
SUPPORTING INFORMATION
Author Contributions:
Frans I Serpa - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Final approval of the version to be published
Christian A Armijos - Substantial contributions to conception and design, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Marta L Cueva - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
C Estefania Burbano - Interpretation of data, Drafting the article, Final approval of the version to be published
Gabriel A Molina - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionAll co-authors have made a substantial contribution to the design, data collection and analysis of the research and the drafting of the manuscript and have reviewed and accepted the contents of the manuscript prior to its submission by the corresponding author.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestThe authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Copyright© 2020 Frans I Serpa et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
