Autoimmune Pancreatitis Accompanied by Eosinophilic Cholecystitis Diagnosed After Surgery: Report of a Case with Histopathological, Radiological, and Clinical Approach.
Autoimmune pancreatitis (AIP) is a special type of chronic pancreatitis that has increasingly been recognized in recent years. We reported a case of AIP which involved mainly the head of the pancreas and the common bile duct, presenting with the features of an accompanying eosinophilic cholecystitis...
| Publicado en: | Turkiye Klinikleri Journal of Medical Sciences Vol. 32; no. 5; pp. 1471 - 1477 |
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| Autores principales: | , , , |
| Formato: | case study diagnostic images pictorial Journal Article |
| Publicado: |
Turkiye Klinikleri
Oct2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104385447&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104385447 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13000292 1VOP jtl: Turkiye Klinikleri Journal of Medical Sciences issn: 13000292 maglogo: N pubinfo: dt: Oct2012 vid: 32 iid: 5 pid: 67298 pub: Turkiye Klinikleri artinfo: ui: 104385447 2011758933 10.5336/medsci.2010-16865 104385447 ppf: 1471 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Autoimmune Pancreatitis Accompanied by Eosinophilic Cholecystitis Diagnosed After Surgery: Report of a Case with Histopathological, Radiological, and Clinical Approach. aug: au: YILMAZ, Güldal SAVAS, Berna ATASOY, Çetin ERDEN, Esra affil: Department of Pathology, Ankara University Faculty of Medicine, Ankara sug: subj: Autoimmune Diseases Complications Cholecystitis Diagnosis Eosinophilia Complications Pancreatitis Adult Female Adult: 19-44 years Female ab: Autoimmune pancreatitis (AIP) is a special type of chronic pancreatitis that has increasingly been recognized in recent years. We reported a case of AIP which involved mainly the head of the pancreas and the common bile duct, presenting with the features of an accompanying eosinophilic cholecystitis. A 39-year-old woman presented with jaundice, weight loss, and abdominal pain. Radiological examination, together with clinical findings proposed the diagnosis of pancreatic carcinoma. The patient underwent pancreaticoduodenectomy and gross examination of the specimen revealed a firm, mass-like enlargement at the head of the pancreas. Histological findings were characterized by diffuse lymphoplasmacytic infiltration with marked interstitial fibrosis and focal acinar atrophy, obliterative phlebitis of the pancreatic veins, and perineural inflammatory infiltration. Inflammatory component involving the gallbladder was mainly composed of eosinophilic leucocytes. Unfortunately, soon after the operation, the patient started to bleed at the site of gastroenterostomy. Twenty days later, pulmonary thromboemboli developed and the patient died. AIP, which can readily be mistaken for pancreatic carcinoma, may be treated with systemic steroids, if recognized preoperatively. Pathological examination is critical in the evaluation of such cases. pubtype: Academic Journal doctype: case study diagnostic images pictorial Journal Article ougenre: Article language: Turkish refInfo: holdings: @attributes: islocal: N |
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