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Autoimmune pancreatitis presenting with gastric outlet obstruction

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Presentation on theme: "Autoimmune pancreatitis presenting with gastric outlet obstruction"— Presentation transcript:

1 Autoimmune pancreatitis presenting with gastric outlet obstruction
Surinder S. Rana, DM, FASGE  Gastrointestinal Endoscopy  Volume 75, Issue 5, Pages (May 2012) DOI: /j.gie Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

2 Figure 1 Contrast medium–enhanced CT of the abdomen showing distention of the stomach with asymmetric thickening in the antropyloric region (white arrows). The pancreas is bulky in the head region and atrophic in the other areas. There are multiple calcifications in the head of the pancreas (black arrow). Gastrointestinal Endoscopy  , DOI: ( /j.gie ) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

3 Figure 2 Positron emission tomography/CT scan showing intense focal uptake of 18F-fluorodeoxyglucose (maximum standardized uptake value 9.4) in a heterogenous lesion in the head/uncinate process of the pancreas. Gastrointestinal Endoscopy  , DOI: ( /j.gie ) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

4 Figure 3 Periductal plasma cell rich infiltrate (H&E, orig. mag. ×40).
Gastrointestinal Endoscopy  , DOI: ( /j.gie ) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

5 Figure 4 Immunoglobulin G4 stain in plasma cell (IHC, orig. mag. ×40).
Gastrointestinal Endoscopy  , DOI: ( /j.gie ) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions


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