TY - JOUR A2 - 杉村，晴彦AU - Allaparthi，萨蒂亚AU - Sageer，穆罕默德AU - 英镑，马克J. PY - 2015年DA - 2015年1月29日TI - 解读自身免疫性胰腺炎，一个伟大的Mimicker：病例报告和审查文学SP - 924532 VL - 2015年AB - 背景。自身免疫性胰腺炎（AIP）是似乎涉及自身免疫机制的非典型慢性炎性胰腺疾病。近年来，AIP已提出作为一个新的临床实体，其千变万化的胰和系统演示。其独特的病理和临床和影像学特点和缺乏血清标志物的重叠促进疾病的独特地位。我们报告与胆道括约肌切开术，支架置入术，和皮质类固醇管理梗阻性黄疸弥漫型1自身免疫性胰腺炎的情况。一名50岁的白人女子呈现给我们的心口痛，恶心，呕吐，黄疸等医院。Workup showed elevated liver function tests (LFT) suggestive of obstructive jaundice, MRCP done showed diffusely enlarged abnormal appearing pancreas with loss of normal lobulated contours, and IgG4 antibody level was 765 mg/dL. EUS revealed a diffusely hypoechoic and rounded pancreatic parenchyma with distal common bile duct (CBD) stricture and dilated proximal CBD and common hepatic duct (CHD). ERCP showed tight mid to distal CBD stricture that needed dilatation, sphincterotomy, and placement of stent that led to significant improvement in the symptoms and bilirubin level. Based on clinical, radiological, and immunological findings, a definitive diagnosis of AIP was made. Patient was started on prednisone 40 mg/day and she clinically responded in 4 weeks. SN - 2090-6528 UR - https://doi.org/10.1155/2015/924532 DO - 10.1155/2015/924532 JF - Case Reports in Gastrointestinal Medicine PB - Hindawi Publishing Corporation KW - ER -