Abstract
The occurrence of a diffusely swollen pancreas raises the possibility of several diseases in the differential diagnosis, including autoimmune pancreatitis (AIP), pancreatic lymphoma and whole pancreatic cancer (PC). Diffuse-type AIP, in particular, is characterized by a capsule-like rim, without dilation of the main pancreatic duct (MPD). In this article we report a case of PC that mimicked diffuse-type AIP on ultrasonography (US) and computed tomography (CT) images, which was successfully diagnosed by a cytology of pancreatic juice obtained using endoscopic naso-pancreatic drainage (ENPD).
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