Autoimmune pancreatitis presenting as obstructive jaundice

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. Initi...

Full description

Bibliographic Details
Main Authors: Nurul Amin Miah, Tania Mahbub, Ferdous Jahan, Mehruba Alam Ananna, Shohael Mahmud Arafat, Salma Jahan
Format: Article
Language:English
Published: Bangabandhu Sheikh Mujib Medical University 2016-08-01
Series:Bangabandhu Sheikh Mujib Medical University Journal
Subjects:
Online Access:https://www.banglajol.info/index.php/BSMMUJ/article/view/29155
Description
Summary: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.
ISSN:2074-2908
2224-7750