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16 September 2024 : Case report  Greece

Focal Autoimmune Pancreatitis Morphologically Mimicking Pancreatic Cancer: A Case Report and Literature Review

Challenging differential diagnosis

Daniel Paramythiotis1ADEF, Eleni Karlafti23ABCDEF*, Krystallenia Siniosoglou1BCDE, Dimitrios Tsavdaris1E, Ioanna Abba Deka ORCID logo4BDE, Georgia Raptou4DE, Xanthippi G. Mavropoulou5BD, Elizabeth Psoma5BD, Stavros Panidis1BD, Antonios Michalopoulos1ABD

DOI: 10.12659/AJCR.944286

Am J Case Rep 2024; 25:e944286

Figure 1. Detailed CT scan imaging characteristics of pancreatic enlargement and inflammation. (A, B) NECT axial images: Diffuse enlargement of the pancreas, especially of the head, with poorly-defined borders. Hyperdense content in the gallbladder. (C, D) CECT late arterial/portal venous phase; axial images: Heterogeneous attenuation of the head of the pancreas. Pancreatic inflammation is mainly localized to the area adjacent to the duodenum. Peripancreatic inflammation with surrounding fat stranding. (E, F) coronal and axial MPR images respectively: Pancreatic inflammation causing dilatation of the common bile duct and intrahepatic bile ducts. Arrows in the images point to the regions of inflammation and areas with ill-defined borders. NECT – non-enhanced computed tomography; CECT – contrast-enhanced computed tomography; MPR – multiplanar reconstruction.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923