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Pseudotumorous pancreatitis associated with ulcerative colitis
A Okano1, K Hajiro, H Takakuwa
1Department of Gastroenterology, Tenri Hospital, Nara.
Internal Medicine (Tokyo, Japan)
|January 30, 2002
Summary
Ulcerative colitis (UC) can uncommonly cause pancreatitis. This case highlights pseudotumorous pancreatitis as a rare extraintestinal manifestation in a UC patient, confirmed via surgical pathology.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Ulcerative colitis (UC) is an inflammatory bowel disease.
- Extraintestinal manifestations (EIMs) of UC are well-documented but uncommon.
- Pancreatitis is a rare EIM of UC.
Observation:
- A 66-year-old female patient with an 8-month history of UC presented with epigastric pain.
- Elevated pancreatic enzymes were noted in laboratory examinations.
- Imaging studies showed findings difficult to distinguish between pseudotumorous pancreatitis and pancreatic cancer.
Findings:
- The patient underwent a distal pancreatectomy for diagnosis and treatment.
- Histological examination revealed a tumorous lesion characterized by fibrosis and lymphocytic infiltration.
- The case was diagnosed as pseudotumorous pancreatitis, an EIM of UC.
Implications:
- This case underscores the importance of considering pancreatitis, specifically pseudotumorous pancreatitis, as a rare EIM in UC patients.
- Accurate diagnosis can be challenging, potentially requiring surgical intervention.
- Recognizing this association may improve patient management and outcomes for UC-associated pancreatitis.