Abstract
A 71 years cachexic male presented with sign symptoms of biliary tract obstruction. There was a large mass in the head of pancreases with raised CA 19.9. But elevated serum lipase raised the suspicion of paocreatitis. Elevated immunoglobulin IgG4 confmned this case as a auto immune aetiology. Initially there was much difficulty to differentiate auto immune pancreatitis from pancreatic carcinoma but after successful stenting and a course of corticosteroids, patient improved dramatically along with nonnalisation of all the radiological, bio-chemical and immunological parameters.
Highlights
The term autoimmune pancreatitis is used to describe a heterogeneous set of pancre atic conditions which are associated with charucteristic laboratory and histologic findings
One must differentiate between the two disorders to prevent unnecessary surgery or delay in corticosteroid therupy.Treatment of autoimmune pancreatitis with corticosteroids leads to the rapid and sustained resolution of pancreatic mass lesions, Address for Correspondence: Md
In this case, an elderly patient who presented with features of obstructive jaundice having a mass occupying in pancreas on ultrasonographycally pancreatic carcinoma was highly suspected but simultaneous presence of high CAlg-g and very high serum lipase made the case more conflicting
Summary
Nurul Amin Miaht,Tania Mahbub[2], Ferdous Jahan[3], Mehruba Alam Ananna4rshohael Mahmud Arafaf, Salma. TM"di."l offi"o, , Dept of Medicine, SSMC&MH, Dhuk",'M"di""l offcq, Kmitola cfenl Hospital Dhaka; 'M"di"ul of"o, Department of Medicine, Begabmdhu Sheilt Mujib Medical. UnivffiityPhaka; Abstract: A 71 years cachexic male presented with sigrr symptoms of biliary tact obstruction. There was a large mass in the head of pancreases with raised CA 19.9. Elevated serum lipase raised the suspicion of pancreatitis. Elevated immunoglobulin IgQ confirmed this case as a auto immune aetiology. There was much difficulty to differentiate auto immune pancreatitis from pancreatic carcinoma but after successful stenting and a course of corticosteroids, patient improved dramatically along with normalisation of all the radiological, bio-chemical and immunological parameters. Key word: Auto Immune Pancreatitis, Obstructive Jaundice, Pancreatic Carcinoma
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