Autoimmune Pancreatitis Featuring a Pseudocyst Requiring Drainage despite Steroid Therapy.
10.3904/kjm.2018.93.6.560
- Author:
Jae Cheol PARK
1
;
Hyeon Su IM
;
Yewon KANG
;
Hyo Ju SON
;
Kyung Hwa JUNG
;
Jisoo HAN
;
Myung Hwan KIM
Author Information
1. Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. mhkim@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Pancreatic pseudocyst;
Pancreatitis;
Steroids;
Drainage
- MeSH:
Aged;
Drainage*;
Humans;
Immunoglobulins;
Male;
Pancreatic Pseudocyst;
Pancreatitis*;
Steroids
- From:Korean Journal of Medicine
2018;93(6):560-564
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Autoimmune pancreatitis (AIP) is rarely associated with pancreatic pseudocysts. AIP-associated pseudocysts requiring drainage despite steroid therapy are rather rare. We report a case of AIP with an infected pseudocyst requiring drainage despite steroid therapy. A 68-year-old male was diagnosed with AIP via pancreatic imaging, a high serum immunoglobulin G4 level, and steroid responsiveness. The AIP was accompanied by a pancreatic pseudocyst. Steroid therapy was prescribed, but the pancreatic pseudocyst became aggravated during steroid tapering. Endoscopic ultrasonography-guided cyst drainage was required; the pseudocyst then became completely resolved.
