Autoimmune pancreatitis mimicking Klatskin tumour on radiology
Paediatrics and Child Health
2015 BMJ Publishing Group Ltd.Autoimmune pancreatitis (AIP) is categorised into two distinct types, AIP type 1 and 2. Although there can be multisystem involvement, rarely, the cholangitis associated with AIP can present radiologically in a manner similar to that of Klatskin tumour. We present the case of a 65-year-old man who was almost misdiagnosed with a Klatskin tumour because of the similarity in radiological features of the two aforementioned clinical entities. The patient presented with a history of jaundice, pruritus and abdominal pain, and work up showed deranged liver function tests, elevated cancer antigen 19-9 levels and positive antinuclear antibodies. CT scan of the abdomen showed findings suggestive of Klatskin tumour but due to diffuse enlargement of the pancreas and surrounding low-attenuation halo found on a closer review, a diagnosis of AIP was performed. The patient was started on standard corticosteroid therapy and responded well, with complete resolution of the radiological findings.
Publication (Name of Journal)
BMJ Case Reports
Hadi, Y. B.,
Sohail, A. M.,
(2015). Autoimmune pancreatitis mimicking Klatskin tumour on radiology. BMJ Case Reports, 2015.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_women_childhealth_paediatr/413