Autoimmune pancreatitis presenting with gastric outlet obstruction

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Presentation transcript:

Autoimmune pancreatitis presenting with gastric outlet obstruction Surinder S. Rana, DM, FASGE Gastrointestinal Endoscopy Volume 75, Issue 5, Pages 1122-1123 (May 2012) DOI: 10.1016/j.gie.2011.12.035 Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Contrast medium–enhanced CT of the abdomen showing distention of the stomach with asymmetric thickening in the antropyloric region (white arrows). The pancreas is bulky in the head region and atrophic in the other areas. There are multiple calcifications in the head of the pancreas (black arrow). Gastrointestinal Endoscopy 2012 75, 1122-1123DOI: (10.1016/j.gie.2011.12.035) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Positron emission tomography/CT scan showing intense focal uptake of 18F-fluorodeoxyglucose (maximum standardized uptake value 9.4) in a heterogenous lesion in the head/uncinate process of the pancreas. Gastrointestinal Endoscopy 2012 75, 1122-1123DOI: (10.1016/j.gie.2011.12.035) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Periductal plasma cell rich infiltrate (H&E, orig. mag. ×40). Gastrointestinal Endoscopy 2012 75, 1122-1123DOI: (10.1016/j.gie.2011.12.035) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Immunoglobulin G4 stain in plasma cell (IHC, orig. mag. ×40). Gastrointestinal Endoscopy 2012 75, 1122-1123DOI: (10.1016/j.gie.2011.12.035) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions