Keywords
Crohn’s disease
endoscopic ultrasound
adult
autoimmune diseases
cholangiopankreatografie endoskopická retrográdní
lidé
pancreatitis
výsledek terapie
ženské pohlaví
autoimunitní nemoci
financování organizované
glucocorticoids
glukocorticoids
pankreatitis
vývody pankreatu
Abstract
Summary:Autoimmune pancreatitis (AIP) represents a rare form of chronic pancreatitis, which can be associated with other autoimmune diseases. In 20-30% of patients with ductocentric AIP, concurrent inflammatory bowel diseases (IBD), more frequently ulcerative colitis (UC), are described. This finding can mimic a malignant tumour of the pancreas and was incorrectly indicated for surgical therapy in the past. Very good response to corticosteroids therapy is characteristic feature for this type of AIP. The authors reported a case of a 37-year old woman with Crohn's disease in whom ductocentric AIP was diagnosed with good and prompt response to corticosteroids therapy.
Sonografický nález rozvinuté AIP: pankreas je zvětšený, hypoechogenní a má klobásovitý vzhled
Sonographic finding of developed AIP: enlarged and hypoechogenic pancreas ("sausage pancreas")
Endosonografický obraz těla a kaudy pankreatu. Rozšíření pankreatu, klobásovitý tvar a anechogenní lem
Endosonographic image of the pancreas body and cauda. Pancreas enlargement, sausage shape and anechogenic border
Sonografický nález po léčbě – normální obraz pankreatu
Sonographic finding after treatment – normal pancreas image
Endosonografie po léčbě s normálním obrazem pankreatu
Endosonography after treatment with a normal pancreas image