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自身免疫性胰腺炎误诊为胰腺恶性肿瘤临床报告

夏晓刚 王凡

临床误诊误治2017,Vol.30Issue(11):19-21,3.
临床误诊误治2017,Vol.30Issue(11):19-21,3.DOI:10.3969/j.issn.1002-3429.2017.11.006

自身免疫性胰腺炎误诊为胰腺恶性肿瘤临床报告

Autoimmunity Pancreatitis Misdiagnosed as Pancreatic Malignant Tumor:a Case Report

夏晓刚 1王凡2

作者信息

  • 1. 361000 福建厦门,解放军174医院肝胆胰血管外科
  • 2. 361000 福建厦门,解放军174医院泌尿外科
  • 折叠

摘要

Abstract

Objective To investigate clinical characteristics, key points of diagnosis and treatment, misdiagnosed cau-ses and preventive measures of autoimmunity pancreatitis ( AIP) . Methods Clinical data of 1 patient with AIP, who was misdi-agnosed as having pancreatic malignant tumor, was retrospectively analyzed. Results The patient was admitted for right upper quadrant pain complicated with jaundice for 20 d. After admission, relevant examinations had been performed, and pancreatic malignant tumor combined with obstructive jaundice was suspected, and then surgery was performed. Chronic pancreatitis was considered by postoperatively pathological result, and AIP was taken into account. The consultation outside the hospital and re-lated examinations such as IgG4 were performed, and the AIP was confirmed. The patient was discharged on the 23rd d after op-eration with good recovery. During follow-up for 2 years, the general condition of the patient was good without recurrence. Con-clusion AIP is rare in clinical, and its manifestation is similar to that of pancreatic malignant tumor, and it is easily be misdi-agnosed. Clinicians should improve awareness, give related examinations completely and careful differential diagnosis in order to avoid misdiagnosis and mistreatment.

关键词

胰腺炎/误诊/胰腺肿瘤

Key words

Pancreatitis/Misdiagnosis/Pancreatic neoplasms

分类

医药卫生

引用本文复制引用

夏晓刚,王凡..自身免疫性胰腺炎误诊为胰腺恶性肿瘤临床报告[J].临床误诊误治,2017,30(11):19-21,3.

临床误诊误治

OACSTPCD

1002-3429

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