Fokální autoimunitní pankreatitida jako příčina obstrukčního ikteru u 15letého chlapce

Title in English Focal autoimmune pancreatitis as a cause of obstructive jaundice in a 15-year-old boy


Year of publication 2015
Type Conference abstract
MU Faculty or unit

Faculty of Medicine

Description Autoimmune pancreatitis is a rare form of chronic pancreatitis. It can be differentiated into type 1 and type 2, each with its own clinical, laboratory, and histological criteria. The diagnosis is rare in childhood. The present report describes the case of a 15-year-old boy hospitalized due to his having developed obstructive jaundice. Imaging revealed that external pressure on the ductus choledochus was caused by a focal inflammatory process at the head of the pancreas. Laboratory examination demonstrated a high level of IgG4, which is often described in, among other diseases, type I autoimmune pancreatitis. Endoscopic ultrasonography of the pancreas was performed using fine needle aspiration. After objective determination of stenosis by endoscopic retrograde cholangiopancreatography, a biliary stent was placed into the patient. Histology confirmed autoimmune pancreatitis. Corticosteroid therapy brought rapid improvement in the local finding in the head of the pancreas and the duodeno biliary drain could be extracted. The patient currently has no clinical symptoms, although given the possibility of relapse he remains under gastroenterological monitoring.

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