John Rebekah, Yanchak Theresa, Ramirez Jonathan
Department of Medicine, Baylor Scott and White Medical Center - Temple, Temple, Texas.
Division of Gastroenterology, Department of Medicine, Baylor Scott and White Medical Center - Temple, Temple, Texas.
Proc (Bayl Univ Med Cent). 2021 Apr 13;34(4):510-511. doi: 10.1080/08998280.2021.1905137.
Eosinophilic pancreatitis is a rare form of chronic pancreatitis that is often mistaken for malignancy due to nonspecific presenting symptoms and noncontributory auxiliary exams. This clinical case report highlights a unique presentation of chronic pancreatitis. A middle-aged man developed abdominal pain, and repeat imaging showed an interval increase in size of a known pancreatic lesion. A core biopsy showed benign pancreatic tissue with eosinophilic-rich inflammation; IgE levels were also elevated. The patient was started on a prednisone taper, and repeat computed tomography 3 months later showed a decreased size of the pancreatic lesion. Correct and timely diagnosis of eosinophilic pancreatitis may avoid invasive unnecessary surgical procedures and allow for earlier initiation of appropriate therapy.
嗜酸性胰腺炎是一种罕见的慢性胰腺炎，由于其非特异性的症状表现和无诊断价值的辅助检查结果，常被误诊为恶性肿瘤。本临床病例报告强调了慢性胰腺炎的一种独特表现。一名中年男性出现腹痛，重复影像学检查显示已知胰腺病变的大小在短期内有所增加。一次穿刺活检显示为良性胰腺组织，伴有富含嗜酸性粒细胞的炎症；免疫球蛋白E水平也升高。患者开始逐渐减量使用泼尼松，3个月后重复计算机断层扫描显示胰腺病变大小减小。正确、及时地诊断嗜酸性胰腺炎可以避免不必要的侵入性手术，并能更早地开始适当治疗。
