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KMID : 0882420180930060560
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Korean Journal of Medicine
2018 Volume.93 No. 6 p.560 ~ p.564
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Autoimmune Pancreatitis Featuring a Pseudocyst Requiring Drainage despite Steroid Therapy
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Park Jae-Cheol
Im Hyeon-Su
Kang Ye-Won
Son Hyo-Ju
Jung Kyung-Hwa
Jung Kyung-Hwa
Han Ji-Soo
Kim Myung-Hwan
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Abstract
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Autoimmune pancreatitis (AIP) is rarely associated with pancreatic pseudocysts. AIP-associated pseudocysts requiring drainage despite steroid therapy are rather rare. We report a case of AIP with an infected pseudocyst requiring drainage despite steroid therapy. A 68-year-old male was diagnosed with AIP via pancreatic imaging, a high serum immunoglobulin G4 level, and steroid responsiveness. The AIP was accompanied by a pancreatic pseudocyst. Steroid therapy was prescribed, but the pancreatic pseudocyst became aggravated during steroid tapering. Endoscopic ultrasonography-guided cyst drainage was required; the pseudocyst then became completely resolved.
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KEYWORD
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Pancreatic pseudocyst, Pancreatitis, Steroids, Drainage
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