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KMID : 0377520150400010007
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Chung-Ang Journal of Medicine
2015 Volume.40 No. 1 p.7 ~ p.12
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A Case of Autoimmune Pancreatitis Associated with Ulcerative Colitis
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Kang Je-Wook
Kim Joo-Sung
Kim Bong-Sun
Kim Yu-Jeong
Lee Young-Soo
Hyun Sun-A
Park Jin-Woong
Lee Kwang-Jae
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Abstract
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A 28-year-old man was admitted to our hospital because of left upper quadrant abdominal pain, diarrhea, bloody stool, and weight loss for 5 months. He had been diagnosed with ulcerative colitis (UC) at age 15, but without medication, the disease has been in remission since then. On admission, patient complained left upper quadrant pain and serum amylase was checked 594 U/L. For evaluation, we performed colonoscopy and abdominal computed tomography. Colonoscopy showed diffuse active inflammation on entire colon and rectum. And, pancreas was diffuse enlarged and looked like sausage shape in abdominal computed tomography. On the basis of abdominal CT findings and the patient``s history, ulcerative colitis accompanied by autoimmune pancreatitis was doubted. So we checked serum IgG4 level and magnetic resonance cholangiopancreatography (MRCP). Although, narrowing of the main pancreatic duct was not detected by MRCP, the serum levels of pancreatic enzyme and IgG4 were elevated. Based on these findings, he was given a diagnosis of autoimmune pancreatitis (AIP) associated with UC. Both diseases improved with using steroids. After discharge, UC symptoms and the serum levels of pancreatic enzymes has been improved.
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KEYWORD
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Ulcerative colitis, Autoimmune pancreatitis, IgG4, Steroid
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