Abstract

GOMEZ, Álvaro Andrés et al. Autoimmune pancreatitis. Rev.Colomb.Reumatol. [online]. 2014, vol.21, n.1, pp.46-50. ISSN 0121-8123.

We report the case of a 70-year-old male with chronic abdominal pain, who presented with increased intensity of the pain, and was initially diagnosed and treated for acute biliary pancreatitis. However, the symptoms persisted after hospital discharge, and he was subsequently studied with cholangio-MRI, abdominal CT scan, and ERCP, which revealed dilation of the biliary tract and a mass in the head of the pancreas. An excisional biopsy of the lesion showed chronic inflammation with severe sclerosing fibrosis and a lymphoplasmacytic infiltrate. A diagnosis of autoimmune pancreatitis was made, and the patient was initiated on azathioprine with good clinical response.

Keywords : Abdominal pain; Autoimmune pancreatitis; Cholelithiasis; Abdominal mass.

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