Case 12: CT + MRI Abdomen

15 F with recurrent abdominal pains. CT done in August, with MRI done in September, a month later, when patient was readmitted with abdominal pain.



Findings reveal enlarged pancreatic body and tail, with a "sausage appearance" noted.
Minimal fluid is seen at the tail of pancreas


Autoimmune pancreatitis was offered as a possibility

* +ve autoantibodies (ANA, RF) were noted


Autoimmune Pancreatitis criteria currently are the confirmation of five cardinal features of AIP which includes the imaging appearance of pancreatic parenchyma and the pancreatic duct, serum IgG4 level, other organ involvement with IgG4-related disease, pancreatic histology and response to steroid therapy