16 September 2024
: Case report
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 DekaDOI: 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.






