Autoimmune pancreatitis CT scan

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

CT scan

CT findings suggestive of autoimmune pancreatitis may include:[1][2][3][4][5][6]

  • Diffusely enlarged pancreas with featureless borders.
  • Delayed enhancement with or without a capsule-like rim.[7]
  • Rarely calcifications may be seen.
Case courtesy of Dr Natalie Yang, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/6942">rID: 6942</a>
Case courtesy of Dr Erik Ranschaert, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/11060">rID: 11060</a>
Case courtesy of Dr Jan Frank Gerstenmaier, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/21642">rID: 21642</a>

References

  1. Sahani DV, Kalva SP, Farrell J, Maher MM, Saini S, Mueller PR, Lauwers GY, Fernandez CD, Warshaw AL, Simeone JF (2004). "Autoimmune pancreatitis: imaging features". Radiology. 233 (2): 345–52. doi:10.1148/radiol.2332031436. PMID 15459324.
  2. Kamisawa T, Egawa N, Nakajima H, Tsuruta K, Okamoto A, Kamata N (2003). "Clinical difficulties in the differentiation of autoimmune pancreatitis and pancreatic carcinoma". Am. J. Gastroenterol. 98 (12): 2694–9. doi:10.1111/j.1572-0241.2003.08775.x. PMID 14687819.
  3. Eerens I, Vanbeckevoort D, Vansteenbergen W, Van Hoe L (2001). "Autoimmune pancreatitis associated with primary sclerosing cholangitis: MR imaging findings". Eur Radiol. 11 (8): 1401–4. doi:10.1007/s003300000742. PMID 11519549.
  4. Irie H, Honda H, Baba S, Kuroiwa T, Yoshimitsu K, Tajima T, Jimi M, Sumii T, Masuda K (1998). "Autoimmune pancreatitis: CT and MR characteristics". AJR Am J Roentgenol. 170 (5): 1323–7. doi:10.2214/ajr.170.5.9574610. PMID 9574610.
  5. Yang DH, Kim KW, Kim TK, Park SH, Kim SH, Kim MH, Lee SK, Kim AY, Kim PN, Ha HK, Lee MG (2006). "Autoimmune pancreatitis: radiologic findings in 20 patients". Abdom Imaging. 31 (1): 94–102. doi:10.1007/s00261-005-0047-8. PMID 16333694.
  6. Nakazawa T, Ohara H, Sano H, Ando T, Imai H, Takada H, Hayashi K, Kitajima Y, Joh T (2007). "Difficulty in diagnosing autoimmune pancreatitis by imaging findings". Gastrointest. Endosc. 65 (1): 99–108. doi:10.1016/j.gie.2006.03.929. PMID 17185087.
  7. Chari ST, Takahashi N, Levy MJ, Smyrk TC, Clain JE, Pearson RK, Petersen BT, Topazian MA, Vege SS (2009). "A diagnostic strategy to distinguish autoimmune pancreatitis from pancreatic cancer". Clin. Gastroenterol. Hepatol. 7 (10): 1097–103. doi:10.1016/j.cgh.2009.04.020. PMID 19410017.

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