Autoimmune Pancreatitis Developing Remarkable Collateral Circulation Around the Pancreas

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  A 65-year-old man was referred to our hospital in April 2003 with a pancreas tumor detected by a thorough medical checkup. Computed tomography (CT) showed swelling of the pancreatic body and tail, and magnetic resonance cholangiopancreatography (MRCP) showed only the main pancreatic duct in the head of the pancreas. Diagnosing autoimmune pancreatitis, we observed the patient without medication. However, one year later CT showed stenosis of the splenic artery and portal vein accompanied by development of collateral circulation around the pancreas. He had no symptoms, and CT showed no changes in the pancreatic swelling.<br>  He was admitted to our hospital on January 6, 2005, presenting with a history of jaundice which first appeared on January 1, 2005, and increased collateral circulation around the pancreas with pancreatic swelling were seen on CT. We started prednisolone therapy at 40 mg/day for exacerbation of autoimmune pancreatitis. Serum bilirubin levels improved from 11.9 mg/dl to 2.5 mg/dl, and pancreatic swelling also improved four weeks after starting therapy.<br>  We present a rare case of autoimmune pancreatitis that developed marked collateral circulations.

収録刊行物

  • Journal of rural medicine : JRM  

    Journal of rural medicine : JRM 1(2), 36-41, 2006-09-01 

    THE JAPANESE ASSOCIATION OF RURAL MEDICINE

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各種コード

  • NII論文ID(NAID)
    10018764342
  • NII書誌ID(NCID)
    AA12086348
  • 本文言語コード
    ENG
  • 資料種別
    NOT
  • ISSN
    1880487X
  • データ提供元
    CJP書誌  J-STAGE 
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