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Focal autoimmune pancreatitis in a patient with Crohn's disease
  1. Francisco José Fernández-Fernández1,
  2. Javier Pérez-Valcárcel2,
  3. María José Bello-Peón3
  1. 1Department of Internal Medicine, Hospital Arquitecto Marcide, Complejo Hospitalario Universitario de Ferrol, Ferrol, Spain
  2. 2Department of Pathology, Hospital Arquitecto Marcide, Complejo Hospitalario Universitario de Ferrol, Ferrol, Spain
  3. 3Department of Radiology, Hospital Arquitecto Marcide, Complejo Hospitalario Universitario de Ferrol, Ferrol, Spain
  1. Correspondence to Dr Francisco José Fernández-Fernández, Department of Internal Medicine, Hospital Arquitecto Marcide, Complejo Hospitalario Universitario de Ferrol, Ferrol 15405, Spain; fjf.fernandez2{at}gmail.com

http://dx.doi.org/10.1136/postgradmedj-2016-134237

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    A 68-year-old woman presented to the emergency department with a 2-day history of epigastric pain, radiating to the back. A diagnosis of Crohn’s disease of the colon was made 6 months before the patient's current presentation, for which she was receiving oral 5-aminosalicylic acid. A colonoscopy performed 2 months before admission showed mucosal remission. On examination, the vital signs were normal and there was mild epigastric tenderness. Her serum amylase level was elevated to 581 U/L (normal range 28–100 U/L). Blood levels of calcium, triglycerides, aspartate aminotransferase, alanine aminotransferase, total bilirubin, alkaline phosphatase and IgG4 were normal. The cancer antigen (CA) 19-9 level was 40 U/mL (normal …

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    Footnotes

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.