Farhat Hadi, Dib Christie, Tlaiss Yehya, Tabcheh Ayman, Hani Pierre
Department of General Surgery, Faculty of Medicine and Medical Sciences, University of Balamand, Dekwaneh, Beirut, Lebanon.
Department of Gastroenterology, Faculty of Medicine and Medical Sciences, University of Balamand, Dekwaneh, Beirut, Lebanon.
Case Rep Gastrointest Med. 2024 Dec 5;2024:5564385. doi: 10.1155/crgm/5564385. eCollection 2024.
Autoimmune pancreatitis (AIP) is a rare and complex condition that can be difficult to identify due to its resemblance to malignancies. This case report presents a unique instance of AIP in a 9-year-old male patient who presented with painless jaundice and elevated liver function test results. His symptoms were persistent even after previous common bile duct stent placement, requiring additional investigation. The possibility of AIP was raised by further serological tests and imaging examinations. The diagnosis was then confirmed by multiple characteristic findings revealed through history, imaging, clinical examination, histology, and lab results. Treatment was initiated with corticosteroids, which resulted in a complete resolution of symptoms and remarkable recovery. This case emphasizes the significance of including AIP in the differential diagnosis of pancreatic disorders, even in pediatric patients.
自身免疫性胰腺炎（AIP）是一种罕见且复杂的病症，因其与恶性肿瘤相似而可能难以识别。本病例报告呈现了一名9岁男性患者的独特AIP病例，该患者表现为无痛性黄疸和肝功能检查结果升高。即使先前放置了胆总管支架，他的症状仍持续存在，需要进一步检查。进一步的血清学检查和影像学检查提示了AIP的可能性。然后通过病史、影像学、临床检查、组织学和实验室结果揭示的多个特征性发现确诊。开始使用皮质类固醇进行治疗，症状完全缓解且恢复显著。本病例强调了即使在儿科患者中，将AIP纳入胰腺疾病鉴别诊断的重要性。
