Autoimmune Pancreatitis Associated with Hemorrhagic Pseudocysts: A Case Report and Literature Review

Hiroshi Kawakami; Masaki Kuwatani; Keisuke Shinada; Hiroaki Yamato; Satoshi Hirano; Satoshi Kondo; Atsuya Yonemori; Tomoo Itoh; Yoshihiro Matsuno; Masahiro Asaka

doi:10.2169/internalmedicine.47.0731

CASE REPORTS

Autoimmune Pancreatitis Associated with Hemorrhagic Pseudocysts: A Case Report and Literature Review

Hiroshi Kawakami, Masaki Kuwatani, Keisuke Shinada, Hiroaki Yamato, Satoshi Hirano, Satoshi Kondo, Atsuya Yonemori, Tomoo Itoh, Yoshihiro Matsuno, Masahiro Asaka

Author information

Hiroshi Kawakami
Department of Gastroenterology, Hokkaido University Graduate School of Medicine
Masaki Kuwatani
Department of Gastroenterology, Hokkaido University Graduate School of Medicine
Keisuke Shinada
Department of Gastroenterology, Hokkaido University Graduate School of Medicine
Hiroaki Yamato
Department of Gastroenterology, Hokkaido University Graduate School of Medicine
Satoshi Hirano
Department of Surgical Oncology, Hokkaido University Graduate School of Medicine
Satoshi Kondo
Department of Surgical Oncology, Hokkaido University Graduate School of Medicine
Atsuya Yonemori
Department of Surgical Pathology, Hokkaido University Hospital
Tomoo Itoh
Department of Surgical Pathology, Hokkaido University Hospital
Yoshihiro Matsuno
Department of Surgical Pathology, Hokkaido University Hospital
Masahiro Asaka
Department of Gastroenterology, Hokkaido University Graduate School of Medicine

Keywords: Autoimmune pancreatitis, Sclerosing pancreatitis, Pancreatic cyst, Pseudocyst

JOURNAL OPEN ACCESS

2008 Volume 47 Issue 7 Pages 603-608

DOI https://doi.org/10.2169/internalmedicine.47.0731

Details

Abstract

Autoimmune pancreatitis (AIP) is a new category of pancreatic diseases. AIP associated with pseudocysts is rare; only 8 cases have been reported in the literature. A 63-year-old man was admitted to our department because of upper left abdominal pain and back pain. Various imaging studies demonstrated swelling of the tail of the pancreas with hemorrhagic pseudocysts. The patient underwent a surgical operation. A pancreatogram of the specimen revealed total occlusion of the main pancreatic duct in the tail of the pancreas. Histopathological examination revealed that it was AIP with hemorrhagic pseudocysts.

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