Autoimmune pancreatitis – a surgical mistake?
Authors:
L. Havlůj 1; A. Whitley 1; J. Hajer 2; T. Hráček 1; R. Gürlich 1
Authors‘ workplace:
Chirurgická klinika Fakultní nemocnice Královské Vinohrady a 3. lékařské fakulty, Praha
1; Gastrocentrum Fakultní nemocnice Královské Vinohrady a 3. lékařské fakulty, Praha
2
Published in:
Rozhl. Chir., 2022, roč. 101, č. 11, s. 540-544.
Category:
Case Report
doi:
https://doi.org/10.33699/PIS.2022.101.11.540–544
Overview
Autoimmune pancreatitis is a specific type of chronic pancreatitis. Its clinical manifestation mimics pancreatic cancer. A multidisciplinary approach is necessary to establish the correct diagnosis. Autoimmune pancreatitis can be diagnosed on the basis of symptomatology, imaging methods, endoscopy, serology and histopathological examination. There are two different forms of autoimmune pancreatitis – type 1 and type 2. Type 1 is lymphoplasmacytic sclerosing pancreatitis and type 2 is idiopathic centroductal sclerosing pancreatitis. The disease most often takes a chronic form with acute exacerbations. In this paper we present two case reports of patients operated on for suspected malignancy of the pancreas, who were subsequently diagnosed with autoimmune pancreatitis based on histopathological examination. The aim of this communication is to point out the diagnostic pitfalls of this disease. Surgical treatment is not considered as a standard therapeutic method according to the current guidelines.
Keywords:
autoimmune disease – chronic pancreatitis – autoimmune pancreatitis – IgG4
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Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2022 Issue 11
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