eISSN: 1897-4317
ISSN: 1895-5770
Gastroenterology Review/Przegląd Gastroenterologiczny
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1/2013
vol. 8
 
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abstract:
Case report

Autoimmune pancreatitis as a systemic, protracted and potentially fatal disease

Aneta Pasierbek-Kohutek
,
Krzysztof Gutkowski
,
Anna Barczyk
,
Marek Hartleb
,
Piotr Paleń

Prz Gastroenterol 2013; 8 (1): 71–76
DOI: https://doi.org/10.5114/pg.2013.34187
Online publish date: 2013/03/25
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Autoimmune pancreatitis (AIP) is a rarely diagnosed systemic disease causing a number of dilemmas which result from vague diagnostic criteria and not simultaneously emerging symptoms. Imaging features of AIP often mimic pancreatic or biliary tract cancer, exposing patients to extensive and crippling surgery. The histological examination shows intense tissue fibrosis leading to the sclerosis of involved organs and immunohistochemistry reveals T-lymphocytic and plasmacytic infiltration with predominance of cells producing IgG4 subclass immunoglobulins. We present a case of a 50-year-old woman with 11 years history and multisymptomatic course of AIP who died from urologic complications
keywords:

autoimmune pancreatitis, retroperitoneal fibrosis, urological complications
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