Eosinophilic pancreatitis presenting as possible malignancy. Issue 4 (4th July 2021)

• Record Type: Journal Article
• Authors: John, Rebekah; Yanchak, Theresa; Ramirez, Jonathan
• Is Part Of: Proceedings. Volume 34:Issue 4(2021)
• Page Start: 510
• Page End: 511
• Publication Date: 2021-07-04
• Subjects: Eosinophilia -- eosinophilic pancreatitis -- gastroenterology -- pancreatitis; Medicine -- Periodicals; Medicine; Medicine -- Periodicals; Periodicals; Electronic journals; 616.005
• DOI: 10.1080/08998280.2021.1905137
• Languages: English
• ISSNs: 0899-8280

Abstract

Abstract: Eosinophilic pancreatitis is a rare form of chronic pancreatitis that is often mistaken for malignancy due to nonspecific presenting symptoms and noncontributory auxiliary exams. This clinical case report highlights a unique presentation of chronic pancreatitis. A middle-aged man developed abdominal pain, and repeat imaging showed an interval increase in size of a known pancreatic lesion. A core biopsy showed benign pancreatic tissue with eosinophilic-rich inflammation; IgE levels were also elevated. The patient was started on a prednisone taper, and repeat computed tomography 3 months later showed a decreased size of the pancreatic lesion. Correct and timely diagnosis of eosinophilic pancreatitis may avoid invasive unnecessary surgical procedures and allow for earlier initiation of appropriate therapy.