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Unclassified autoimmune pancreatitis mimicking pancreatic cancer

dc.contributor.authorMarinho, R
dc.contributor.authorAlves, A
dc.contributor.authorPignatelli, N
dc.contributor.authorNunes, V
dc.date.accessioned2019-03-08T16:25:09Z
dc.date.available2019-03-08T16:25:09Z
dc.date.issued2019
dc.description.abstractA 24-year-old black male presented with a 1-week obstructive jaundice and intermittent abdominal pain, with no significant weight loss and an unsuspicious abdominal exam. Blood chemistry showed a cholestatic pattern but a complete immunological and tumoral panel (anti-smooth muscle antibody, anti-mitochondrial antibody, anti-nuclear antibody, anti-neutrophil cytoplasmic antibody, anti-Smith, anti-double-stranded-DNA antibody (anti-dsDNA), complement C3/C4, carcinoembryonic antigen, CA 19-9 and IgG4) were all within normal limits. Abdominal ultrasound revealed dilatation of the intra and extra-hepatic bile ducts. CT scan showed an abnormal dilatation of the distal bile duct but no focal enlargement of the head of the pancreas. Endoscopic ultrasound suggested an inflammatory process but the magnetic resonance cholangio-pancreatography favored a neoplastic obstruction of the distal common bile duct. Fine-needle aspiration cytology was insufficient for definitive diagnosis and the patient underwent major surgery. Follow-up with mild exocrine pancreatic insufficiency treated with enzyme replacement.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Surg Case Rep. 2019 Jan 31;2019(1):rjy340pt_PT
dc.identifier.doi10.1093/jscr/rjy340pt_PT
dc.identifier.issn2042-8812
dc.identifier.urihttp://hdl.handle.net/10400.10/2154
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherOxford University Presspt_PT
dc.relation.publisherversionhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354675/pdf/rjy340.pdfpt_PT
dc.subjectPancreatic neoplasmspt_PT
dc.titleUnclassified autoimmune pancreatitis mimicking pancreatic cancerpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceOxfordpt_PT
oaire.citation.titleJournal of Surgical Case Reportspt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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