Abstract
n u c c a t m t I w corticosteroid therapy that, however, he has refused. A normalization of cholestatic enzymes was observed while the patient was still at the hospital and, after 8 months from diagnosis, the patient remains asymptomatic without any A 59-year-old man presented with a two-week history of epigastric pain associated with itching and jaundice. Laboratory investigation: direct bilirubin 15xN; alkaline phosphatase 3xN; gamma-GT 6xN; glucose 2.5xN, and normal levels of both amylase and lipase. CT scan of the abdomen showed diffuse large pancreas with delay in the uptake of contrast product, as well as loss of normal pancreatic lobulation and a heterogeneous nodular area in the cephalic portion. Abdominal MRI revealed sausage like swelling of the pancreas with a surrounding low attenuation rim and a heterogeneous
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