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自身免疫性胰腺炎的胃部累及:多层螺旋CT及组织病理学特征

Gastric involvement in autoimmune pancreatitis: MDCT and histopathologic features.

作者信息

Baez Juan C, Hamilton Matthew J, Bellizzi Andrew, Mortelé Koenraad J

机构信息

Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.

出版信息

JOP. 2010 Nov 9;11(6):610-3.

Abstract

CONTEXT

Autoimmune pancreatitis is a relatively rare, yet well described cause of chronic pancreatitis. Extrapancreatic findings are now recognized as important manifestations of this entity and viewed as part of a larger disease process tentatively named "IgG4-associated sclerotic disease".

CASE REPORT

We herein report a case of autoimmune pancreatitis with histopathologically proven gastric involvement. We also describe and illustrate the multidetector-row computed tomography appearance of gastric involvement in IgG4-associated sclerotic disease.

CONCLUSION

Autoimmune pancreatitis is increasingly recognized as a multi-systemic disease whose early recognition dramatically affects patient management. Knowledge of the computed tomography appearance of gastric involvement in autoimmune pancreatitis can aid in diagnosis.

摘要

背景

自身免疫性胰腺炎是一种相对罕见但已得到充分描述的慢性胰腺炎病因。胰腺外表现现已被认为是该疾病实体的重要表现,并被视为一个暂定为“IgG4相关硬化性疾病”的更大疾病过程的一部分。

病例报告

我们在此报告一例经组织病理学证实有胃部受累的自身免疫性胰腺炎病例。我们还描述并展示了IgG4相关硬化性疾病中胃部受累的多排螺旋计算机断层扫描表现。

结论

自身免疫性胰腺炎越来越被认为是一种多系统疾病,其早期识别对患者管理有重大影响。了解自身免疫性胰腺炎中胃部受累的计算机断层扫描表现有助于诊断。

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