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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 2. Detailed MRI and MRCP imaging characteristics of pancreatic pathologies. (A–C) MRI: (A) Low-intensity area in the pancreatic head. (B) Dilatation of the pancreatic (B1) and the common bile duct (B2). Sediment–fluid level in the gallbladder. (C) Diffusion restriction in the pancreatic head (C1) in comparison to the rest of the body and tail (C2). Low signal on the ADC map (C3). (D) MRCP: abrupt ending of the common bile duct (there is no icicle sign) (D1). Multiple cystic lesions in the periphery of the pancreas (dilatation of the pancreatic duct brunches?) (D2). (B) PTC showing abrupt ending of the common bile duct. Arrows in the images point out the areas of interest, such as regions of low intensity, dilatation, sediment–fluid levels, diffusion restrictions, and abrupt endings. MRI – magnetic resonance imaging; MRCP – magnetic resonance cholangiopancreatography; PTC – percutaneous transhepatic cholangiography.

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