Primary sclerosing cholangitis and painless pancreatitis

Case contributed by Dr Roberto Schubert

Presentation

MODY-type diabetes. Elevated liver and pancreatic enzymes. No history of abdominal pain.

Patient Data

Age: 70
Gender: Male

Segmental dilatation of bile ducts in the right liver lobe (mainly segment VIII). Interestingly, there is also periportal hyperperfusion in the early arterial phase after contrast. Necrotic pancreatitis of the tail with 2 pseudocysts and old splenic vein thrombosis. Collateral circulation via the gastric veins.

Case Discussion

This combination of findings may suggest autoimmune disease.

PlayAdd to Share

Case Information

rID: 17931
Case created: 25th May 2012
Last edited: 3rd Nov 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.