Pseudotumor of the pancreas associated with retroperitoneal fibrosis: a dramatic response to corticosteroid therapy.
A 69-yr-old man with a past medical history of aortic aneurysm and retroperitoneal fibrosis presented with obstructive jaundice and radiographic features suggesting sclerosing cholangitis and malignancy of the head of the pancreas. A presumptive diagnosis of chronic periaortitis was made, and a dramatic response to corticosteroid therapy was subsequently observed. The clinical course of seven additional patients with pseudotumor of the pancreas associated with retroperitoneal fibrosis is also reviewed; three of those patients also responded favorably to corticosteroid treatment.
Chutaputti
A
A
Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Burrell
M I
MI
Boyer
J L
JL
D000368:Aged; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D010182:Pancreatic Diseases / Q000150:complications* / Q000175:diagnosis; D010190:Pancreatic Neoplasms / Q000175:diagnosis; D011241:Prednisone / Q000627:therapeutic use*; D012185:Retroperitoneal Fibrosis / Q000150:complications* / Q000188:drug therapy*
D011241:Prednisone