A Case with Multiple Pathologies in the Pancreatic Head

Autoimmune pancreatitis (AIP) type 1, paraduodenal (groove) pancreatitis, and follicular pancreatitis are rare clinical entities whose diagnosis may be challenging, given the potential imaging overlap with pancreatic cancer. We performed a retrospective analysis of the medical chart of a patient wit...

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Bibliographic Details
Published in:Biomedicines 2024-08, Vol.12 (8), p.1762
Main Authors: Vujasinovic, Miroslav, Ghazi, Sam, Kartalis, Nikolaos, Gustafsson Liljefors, Maria, D'Souza, Melroy A, Ghorbani, Poya, Löhr, J-Matthias
Format: Article
Language:English
Subjects:
Abdomen
Adenocarcinoma
autoimmune pancreatitis
Bile ducts
Biopsy
Cancer
Case Report
Comorbidity
Cysts
Diagnosis
Endoscopy
follicular pancreatitis
Immunoglobulin G
IPMN
Kidney stones
Kidneys
Lesions
Outpatient care facilities
Pancreas
Pancreatic cancer
pancreatic ductal adenocarcinoma
Pancreatitis
paraduodenal pancreatitis
Patients
Phosphatase
Small intestine
Veins & arteries
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Summary:Autoimmune pancreatitis (AIP) type 1, paraduodenal (groove) pancreatitis, and follicular pancreatitis are rare clinical entities whose diagnosis may be challenging, given the potential imaging overlap with pancreatic cancer. We performed a retrospective analysis of the medical chart of a patient with multiple pancreas pathologies. We present a case with multiple pancreas pathologies, including a poorly differentiated ductal adenocarcinoma of pancreatobiliary type, an intraductal papillary mucinous lesion (pre-existing lesion of IPMN type), and an inflammatory process with complex features, in which paraduodenal (groove) pancreatitis, follicular pancreatitis, and IgG4-related pancreatitis (AIP type 1) were also present. The diagnosis of AIP and paraduodenal pancreatitis is not always straightforward, and in some cases, it is not easy to differentiate them from pancreatic cancer. Surgery should be considered in patients when a suspicion of malignant/premalignant lesions cannot be excluded after a complete diagnostic work-up.
ISSN:2227-9059
2227-9059
DOI:10.3390/biomedicines12081762