摘要
Abstract
Objective To discuss diagnostic measures, treatment measures, causes of misdiagnosis and preventive measures of autoimmune pancreatitis, in order to improve the awareness of autoimmune pancreatitis ( AIP) , and also levels of diagnosis and treatment of the disease. Methods Clinical date of a case of AIP with delayed diagnosis and treatment for four years was retrospectively analyzed. Results The patient was admitted for pancreatic mass for 4 years with 2-year interrupted epigastric pain and an acute onset 2 days before. The pancreatic mass was found 4 years ago by ultrasound during a physical examination, which was suspected as a tumor of pancreas with pathological diagnosis after needle-biopsy guided by CT and en-doscopic ultrasonography, but without any treatment. 2 years ago, the patient was admitted for a sudden right epigastric pain. After the patient underwent IgG4, and imaging examinations, AIP was not excluded, and the patient refused to accept the sug-gested experimental glucocorticoid therapy. Upon this admission, we still considered it as AIP after examination of IgG4, ul-trasound and MRI examinations, and then took 1-month experimental treatment with prednisone with the agreement from the patient. The pancreatic mass shrank under enhancement CT, and a definite diagnosis of AIP was made. Followed up for 9 months after discharge, the patient had no recurrence. Conclusion AIP is a special type of chronic pancreatitis, which is rare clinically and easy to be misdiagnosed. Clinicians should raise awareness of the disease, strengthen diagnostic thinking and communication with the patients' families in order to reduce misdiagnosis and mistreatment rates.关键词
胰腺炎/误诊/胰腺肿瘤Key words
Pancreatitis/Misdiagnosis/Pancreatic neoplasm分类
医药卫生
