Autoimmune pancreatitis presenting as obstructive jaundice

  • Nurul Amin Miah Department of Medicine, SSMC&MH, Dhaka
  • Tania Mahbub Kurmitola General Hospital, Dhaka
  • Ferdous Jahan Department of Medicine, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, Dhaka
  • Mehruba Alam Ananna Department of Nephrology, BIRDEM
  • Shohael Mahmud Arafat Department of Medicine, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, Dhaka
  • Salma Jahan Department of Paediatric Nephrology, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, Dhaka
Keywords: Autoimmune pancreatitis, Obstructive jaundice, Pancreatic carcinoma

Abstract

A 71 years cachexic male presented with sign symptoms of biliary tract obstruction. There was a large mass in the head of pancreases with raised CA 19.9. But elevated serum lipase raised the suspicion of paocreatitis. Elevated immunoglobu­lin IgG4 confmned this case as a auto immune aetiology. Initially there was much difficulty to differentiate auto immune pancreatitis from pancreatic carcinoma but after successful stenting and a course of corticosteroids, patient improved dramatically along with nonnalisation of all the radiological, bio-chemical and immunological parameters.

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Abstract
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Published
2016-08-05
How to Cite
Miah, N., Mahbub, T., Jahan, F., Ananna, M., Arafat, S., & Jahan, S. (2016). Autoimmune pancreatitis presenting as obstructive jaundice. Bangabandhu Sheikh Mujib Medical University Journal, 7(1), 74-76. https://doi.org/10.3329/bsmmuj.v7i1.29155
Section
Case Reports