A case of sclerosing cholangitis with autoimmune pancreatitis evaluated by FDG-PET.
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.
Kawamura
Etsushi
E
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
Habu
Daiki
D
Higashiyama
Shigeaki
S
Tsushima
Hiroyuki
H
Shimonishi
Yoshihiro
Y
Nakayama
Yuji
Y
Enomoto
Masaru
M
Kawabe
Joji
J
Tamori
Akihiro
A
Kawada
Norifumi
N
Shiomi
Susumu
S
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
D003287:Contrast Media; D007074:Immunoglobulin G; D013256:Steroids; D019788:Fluorodeoxyglucose F18