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Autoimmune pancreatitis

Case contributed by: Dr Natalie Yang
Modality: CT

Case Discussion:

21 year old female presents with non specific abdominal pain, jaundice and poorly controlled diabetes

Single phase CT scan (multiphase scans not performed due to age of patient) demonstrates a diffusely enlarged pancreas with a "halo" like rim of hypoattenuating tissue which is smoothly marginated.  Minimal peripancreatic fat stranding.

Associated splenic vein thrombosis, splenomegaly and cavernous transformation of the portal vein.

Diagnosis:  Autoimmune pancreatitis

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