Abstract
In childhood and adolescence, pancreatic neoplasms are generally treated by resection, whereas the management of pancreatitis is predominantly nonoperative. Autoimmune pancreatitis (AIP) is a form of chronic pancreatitis that frequently presents as a mass and responds to corticosteroids. When serologic tests are not diagnostic, a biopsy may spare a child a pancreatic resection. We report the case of a child who presented with a 3 cm mass in the head of the pancreas with a double duct sign who had AIP. • Diagnostic features of autoimmune pancreatitis differ in children from adults. • Autoimmune pancreatitis can present as a mass and mimic a tumor. • Biopsy may be needed to avoid resection if laboratory tests are inconclusive. • Some cases of idiopathic pancreatitis may be autoimmune pancreatitis. • Resolution of the mass will occur with steroids.
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