1. Case # 2. Dr. Laura Lamps
A 29 year old Caucasian female underwent preoperative blood work prior to laparoscopic removal of a benign paratubal cyst.
She was found to have an AST of 58, ALT of 111, alkaline phosphatase of 14, and total bilirubin of 1.0. ANA was positive at 1:80. The patient also had a markedly elevated total cholesterol.
Upon referral to a gastroenterologist, she had no complaints, but was noted to be markedly obese (5 feet 4 inches tall, 240 pounds). She denied alcohol or drug use in the past, and viral serologies were negative. A liver biopsy was performed.

2. EUS image of autoimmune pancreatitis2

3. EUS image of autoimmune pancreatitis3

4. EUS image of autoimmune pancreatitis4

5. EUS image of autoimmune pancreatitis5

6. EUS image of autoimmune pancreatitis6