Abstract
A 41-year-old woman was admitted to our hospital with dull abdominal pain, brown urine and left palpebral swelling. Laboratory data revealed elevated levels of serum IgG4, abdominal CT demonstrated diffuse pancreatic swelling and a thickened intra-pancreatic bile duct wall, and endoscopic retrograde pancreatography revealed a diffuse narrow main pancreatic duct. Lymphoplasmacytic sclerosing pancreatitis on pancreatic biopsy indicated a diagnosis of autoimmune pancreatitis. FDG-PET before and after steroid therapy revealed remarkably decreased FDG accumulation. FDG-PET before and after steroid therapy appears to be a useful diagnostic examination to estimate the early steroid response and distinguish between autoimmune pancreatitis and pancreatic cancer.
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