title: A case of sclerosing cholangitis with autoimmune pancreatitis evaluated by FDG-PET.
abstract: The extrapancreatic bile duct lesions in autoimmune pancreatitis are termed sclerosing cholangitis (SC with AIP), which is known to complicate AIP somewhat more frequently than other extrapancreatic lesions. In cases of SC with AIP, differentiation from primary SC, pancreatic cancer, and bile duct cancer is often difficult. In our patient, pancreatic cancer had to be ruled out at admission, given the findings of obstructive jaundice, pancreatic duct stenosis, and swelling of the pancreas. Fluorine-18-fluorodeoxyglucose positron emission tomography was useful in checking for the presence of extrapancreatic lesions, including SC, and was also useful in the evaluation of the response to steroid therapy for following the course of AIP.
authors.affiliation: Department of Nuclear Medicine, Graduate School of Medicine, Osaka City University, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan. etsushi-k@med.osaka-cu.ac.jp
authors.forename: Etsushi
authors.initials: E
authors.lastname: Kawamura
authors.forename: Daiki
authors.initials: D
authors.lastname: Habu
authors.forename: Shigeaki
authors.initials: S
authors.lastname: Higashiyama
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tsushima
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Shimonishi
authors.forename: Yuji
authors.initials: Y
authors.lastname: Nakayama
authors.forename: Masaru
authors.initials: M
authors.lastname: Enomoto
authors.forename: Joji
authors.initials: J
authors.lastname: Kawabe
authors.forename: Akihiro
authors.initials: A
authors.lastname: Tamori
authors.forename: Norifumi
authors.initials: N
authors.lastname: Kawada
authors.forename: Susumu
authors.initials: S
authors.lastname: Shiomi
mesh_terms: D000368:Aged; D001327:Autoimmune Diseases / Q000150:complications*; D002454:Cell Differentiation; D015209:Cholangitis, Sclerosing / Q000150:complications*; D003287:Contrast Media / Q000494:pharmacology; D004724:Endoscopy; D019788:Fluorodeoxyglucose F18 / Q000494:pharmacology*; D006801:Humans; D007074:Immunoglobulin G / Q000378:metabolism; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D010190:Pancreatic Neoplasms / Q000188:drug therapy*; D010195:Pancreatitis / Q000150:complications*; D049268:Positron-Emission Tomography / Q000379:methods*; D013256:Steroids / Q000378:metabolism
chemical_list: D003287:Contrast Media; D007074:Immunoglobulin G; D013256:Steroids; D019788:Fluorodeoxyglucose F18