Extrapancreatic lesions in autoimmune pancreatitis
作者： Terumi Kamisawa , Naoto Egawa , Hitoshi Nakajima , Kouji Tsuruta , Atsutake Okamoto
DOI: 10.1097/01.MCG.0000180629.77066.6C
关键词:
摘要: Goals: To examine extrapancreatic lesions associated with autoimmune pancreatitis. Background: Autoimmune pancreatitis is a unique clinical entity proposed recently, and reported to occasionally be other diseases. Study: Extrapancreatic were examined clinically, radiologically, histologically in 25 patients Results: Stenosis of the bile duct was observed 22 (lower [n = 19], upper 1], intrahepatic 2]). Marked wall thickening not obvious cholangiographic abnormality seen on ultrasound 3 patients. Enlargement salivary glands cervical lymph nodes detected 4 Abdominal lymphadenopathy 5 8 at laparotomy. Retroperitoneal fibrosis noted 2 Obliterative phlebitis pancreatic peripancreatic veins all 6 resected specimens. stenosis portal vein encasement arteries 14 who underwent abdominal angiography, respectively. Diabetes mellitus diagnosed 13 All except diabetes improved after steroid therapy. Conclusions: found duct, enlargement glands, or lymphadenopathy, retroperitoneal fibrosis, vein, mellitus. It possible that these are induced by same inflammatory mechanisms as
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