Young woman with epigastric pain. Serology negative.
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In the DWI ( b800) and see a restriction of diffusion with signal loss in the ADC in the corpus and the tail. Mild hyperintensity in T2 with progressive contrast enhancement.
The cholangiogram shows an irregularity of the intrahepatic bile ducts, as the result of cholangitis.
Autoimmune pancreatitis can be mistakenly diagnosed as pancreatic cancer. It is very important to identify this pathology. Sometimes only the imaging can make the diagnosis.
- Gastrointestinal Imaging IgG4-related Sclerosing Disease: Autoimmune Pancreatitis and Extrapancreatic Manifestations Paraskevi A. Vlachou, MD, Korosh Khalili, MD, Hyun-Jung Jang, MD, Sandra Fischer, MD, Gideon M. Hirschfield, MD, and Tae Kyoung Kim, MD From the Departments of Medical Imaging (P.A.V., K.K., H.J.J., T.K.K.) and Pathology (S.F.), Toronto General Hospital, University of Toronto, 585 University Ave, Toronto, Ont, Canada M5G 2N2; and Liver Centre and Department of Medicine, Toronto Western Hospital, University of Toronto, Toronto, Ont, Canada (G.M.H.).