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A Case Report of Childhood Recurrent Autoimmune Pancreatitis: A Rare Emerging Entity
Mohammed Y Hasosah1, Lojain Masawa2, Ajwan Jan2
1Assistant Professor, Department of Pediatric Gastroenterology, King Saud Bin Abdulaziz University for Health Sciences, National Guard Hospital , Jeddah, Saudi Arabia .
Insights
Autoimmune pancreatitis (AIP), a rare condition in children, presents with abdominal pain. Early diagnosis and corticosteroid treatment are crucial for managing this IgG4-related disease.
Area of Science:
- Pediatric Gastroenterology
- Immunology
- Pancreatic Diseases
Background:
- Autoimmune pancreatitis (AIP) is an uncommon pancreatic disorder with unknown etiology in children.
- Recurrent pancreatitis in pediatric patients requires thorough differential diagnosis.
Observation:
- A 10-year-old girl presented with recurrent abdominal pain.
- Diagnostic workup revealed elevated pancreatic enzymes, elevated IgG4 levels, and characteristic imaging findings consistent with AIP.
Findings:
- The patient demonstrated a positive response to corticosteroid therapy.
- Diagnosis of AIP was confirmed through a combination of clinical, serological, and imaging data.
Implications:
- Autoimmune pancreatitis should be considered in the differential diagnosis of pediatric recurrent pancreatitis.
- Timely and accurate diagnosis of AIP can prevent disease progression and avoid unnecessary surgical interventions.
Abstract:
Autoimmune pancreatitis (AIP) is a rare entity in the paediatric population and its aetiology is unknown. Here, we report a 10-year-old girl with recurrent abdominal pain. A diagnosis of AIP was made based on elevated pancreatic enzymes, elevated IgG 4 and image findings. She responded to corticosteroid treatment. AIP should be considered in the differential diagnosis of recurrent pancreatitis. Correct diagnosis can help avert the consequences of progressive disease and unnecessary surgery.

