A case of autoimmune pancreatitis: role of Gallium-67 scintigraphy in response to steroid therapy

Accession number;03A0557517
Title;A case of autoimmune pancreatitis: role of Gallium-67 scintigraphy in response to steroid therapy
Author; YAGI TOSHIYUKI (Kochi National Hospital, JPN) ODA HIRONOBU (Kochi National Hospital, JPN) FUKUYAMA MITSUTOSHI (Kochi National Hospital, JPN) KASHIWAGI YUTAKA (Kochi National Hospital, JPN) MIKI HISASHI (Kochi National Hospital, JPN) KOMATSU YUKIHISA (National Kochi Hospital, JPN)
Journal Title;Shikoku Acta Medica
Journal Code:G0586A
ISSN:0037-3699
VOL.59;NO.3;PAGE.159-165(2003)
Figure&Table&Reference;FIG.6, TBL.1, REF.19
Pub. Country;Japan
Language;Japanese
Abstract;Some cases of chronic idiopathic pancreatitis associated with autoimmune disease have been reported. The autoimmune pancreatitis revealed a diffusely irregular and narrowed pancreatic duct and responded well to steroid treatment. We report a case of autoimmune pancreatitis with a significant role of Gallium scintigraphy in response to steroid therapy. A sixty seven-year-old male, with upper abdominal pain, appetite loss and thirst, presented diffuse pancreatic swelling on abdominal ultrasonography, and diffuse irregular narrowing of the pancreatic duct and stenosis of the distal common bile duct. Gallium-67 scitigraphy revealed high uptake in the whole pancreas. The patient underwent pancreatic biopsy to rule out pancreatic cancer and malignant lymphoma. The definitive diagnosis was autoimmune pancreatitis. The patient recovered quickly with steroid therapy after the biopsy. (author abst.)