Primary sclerosing cholangitis and painless pancreatitis

Case contributed by Dr Roberto Schubert


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.

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Case information

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

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