非特异性自身免疫性胰腺炎(AIP-NOS):当临床表现与胰腺癌有关时,胃肠病学咨询的重要性

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY
Case Reports in Gastrointestinal Medicine Pub Date : 2025-09-09 eCollection Date: 2025-01-01 DOI:10.1155/crgm/8916499
Cooper Alden Josephs, Daniel Mullady, Taylor Templeton-Jager, Nicholas Fuerstenau, Steve Xie
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引用次数: 0

摘要

自身免疫性胰腺炎(AIP)和胰腺癌是源自胰腺的梗阻性黄疸的主要鉴别诊断。病例描述/方法:患者的发现与恶性胆道梗阻有关,但彻底的检查确定患者患有AIP-NOS。她接受了EBS治疗,出院时服用了类固醇减量治疗。随访显示症状、实验室标记物和影像学完全消失。结论:22号针并不总能获得足够的胰腺组织。胆道支架置入术对于伴有显著高胆红素血症的AIP患者是合理的。对于胰头肿块合并梗阻性黄疸患者,考虑AIP是优化预后的重要方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Autoimmune Pancreatitis Not Otherwise Specified (AIP-NOS): The Importance of Gastroenterology Consultation When Clinical Findings Are Concerning for Pancreatic Cancer.

Autoimmune Pancreatitis Not Otherwise Specified (AIP-NOS): The Importance of Gastroenterology Consultation When Clinical Findings Are Concerning for Pancreatic Cancer.

Autoimmune Pancreatitis Not Otherwise Specified (AIP-NOS): The Importance of Gastroenterology Consultation When Clinical Findings Are Concerning for Pancreatic Cancer.

Autoimmune Pancreatitis Not Otherwise Specified (AIP-NOS): The Importance of Gastroenterology Consultation When Clinical Findings Are Concerning for Pancreatic Cancer.

Introduction: Autoimmune pancreatitis (AIP) and pancreatic cancer are top differentials of obstructive jaundice originating from the pancreas. Case Description/Methods: The patient's findings were concerning for malignant biliary obstruction, but a thorough workup determined that the patient had AIP-NOS. She underwent EBS and was discharged on a steroid taper. Follow-up demonstrated complete resolution of symptoms, laboratory markers, and imaging. Conclusion: Adequate pancreatic tissue is not always obtained with 22-gauge needles. Biliary stenting is justifiable in AIP with significant hyperbilirubinemia. It is important to consider AIP for with a pancreatic head mass and obstructive jaundice to optimize outcome.

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来源期刊
Case Reports in Gastrointestinal Medicine
Case Reports in Gastrointestinal Medicine GASTROENTEROLOGY & HEPATOLOGY-
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