自身免疫性胰腺炎误诊为胰腺恶性肿瘤临床报告.docVIP

自身免疫性胰腺炎误诊为胰腺恶性肿瘤临床报告 夏晓刚 王凡 解放军174医院肝胆胰血管外科 解放军174医院泌尿外科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 探讨自身免疫性胰腺炎 (autoimmune pancreatitis, AIP) 临床特征、诊治要点、误诊原因及防范措施。方法对误诊为胰腺恶性肿瘤的AIP 1例的临床资料进行回顾分析。结果 患者因右上腹疼痛伴黄疸20 d入院, 入院后完善相关检查, 考虑胰腺恶性肿瘤并梗阻性黄疸, 行手术治疗, 术后病理检查考虑慢性胰腺炎, 可能为AIP, 予院外会诊并完善Ig G4等相关检查确诊为AIP。术后23 d恢复良好出院。随访2年, 一般情况良好, 无复发。结论 AIP较少见, 且临床表现与胰腺恶性肿瘤相似, 易误诊。提高对其认识、充分完善相关检查及细致鉴别诊断可减少或避免AIP误诊。 关键词： 胰腺炎; 误诊; 胰腺肿瘤; 作者简介：王凡, E-mail:wangfwf1234@163.com 收稿日期：2017-09-05 Autoimmunity Pancreatitis Misdiagnosed as Pancreatic Malignant Tumor:a Case Report XIA Xiao-gang WANG Fan Department of Hepatobiliary Pancreatic and Vascular Surgery, 174 Hospital of PLA; Department of Urology, 174 Hospital of PLA; Abstract： Objective To investigate clinical characteristics, key points of diagnosis and treatment, misdiagnosed causes and preventive measures of autoimmunity pancreatitis ( AIP) . Methods Clinical data of 1 patient with AIP, who was misdiagnosed as having pancreatic malignant tumor, was retrospectively analyzed. Results The patient was admitted for right upper quadrant pain complicated with jaundice for 20 d. After admission, relevant examinations had been performed, and pancreatic malignant tumor combined with obstructive jaundice was suspected, and then surgery was performed. Chronic pancreatitis was considered by postoperatively pathological result, and AIP was taken into account. The consultation outside the hospital and related examinations such as Ig G4 were performed, and the AIP was confirmed. The patient was discharged on the 23 rdd after operation with good recovery. During follow-up for 2 years, the general condition of the patient was good without recurrence. Conclusion AIP is rare in clinical, and its manifestation is similar to that of pancreatic malignant tumor, and it is easily be misdiagnosed. Clinicians should improve awareness, give related examinations completely and careful differential diagnosis in order t