Autoimmune Pancreatitis Type 2, Biliary Cysts and Giardia lamblia
Abstract
:1. Introduction
2. Case Report
2.1. Preadmission History and Test Results
2.2. Initial Therapy and Evaluation of Cholestasis
2.3. Pancreatitis and Other Additional Findings
2.4. Treatment and Clinical Course
2.5. Second Surgery and Follow-Up
3. Discussion
3.1. Autoimmune Pancreatitis
3.2. Biliary Cyst
3.3. Correlation between AIP and Biliary Cyst
3.4. Unexpected Guest
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variable | Value | Unit | Reference Range |
---|---|---|---|
E | 5.47 | ×1012/L | 4.43–5.88 |
Hb | 158 | g/L | 129–166 |
L | 6.9 | ×109/L | 4.4–11.6 |
PLT | 308 | ×109/L | 178–420 |
ESR | 12 | mm/h | 2–12 |
PT | 0.85 | >0.70 | |
APTT | 28.2 | s | 20.0–30.0 |
Fibrinogen | 4.7 | g/L | 1.8–4.1 |
Bilirubin | 134 | μmol/L | 7–30 |
Alkaline phosphatase | 401 | U/L | 67–264 |
AST | 181 | U/L | 11–38 |
ALT | 551 | U/L | 10–33 |
GGT | 490 | U/L | 23–91 |
Amylase | 34 | U/L | 23–91 |
Lipase | 48 | U/L | 13–60 |
Amylase (urine) | 260 | U/L | <400 |
Vitamin A | 1.50 | μmol/L | 0.91–2.51 |
Vitamin E | 20.2 | μmol/L | 21.8–50.4 |
C3 | 2.09 | g/L | 0.90–1.80 |
C4 | 0.30 | g/L | 0.10–0.40 |
IgE | 170.0 | kIU/L | <87 |
IgG | 9.20 | g/L | 5.49–15.84 |
IgA | 1.94 | g/L | 0.61–3.48 |
IgM | 0.87 | g/L | 0.23–2.59 |
Proteins | 76 | g/L | 66–81 |
Albumin | 45.4 | g/L | 41.0–48.6 |
Alpha 1 globulin | 4.1 | g/L | 2.1–3.6 |
Alpha 2 globulin | 9.3 | g/L | 5.2–8.7 |
Beta globulin | 9.0 | g/L | 6.2–9.6 |
Gamma globulin | 8.2 | g/L | 8.2–13.8 |
Autoantibodies in AIH | Negative | ||
ANA (IFF) | Positive, AC-15 | ||
Anti-PM-Scl | 95 | AU/mL | <30 |
Antibodies on parietal cells | positive | Titer | <1:20 |
Alpha 1 antitrypsin | >3.00 | g/L | 0.90–2.00 |
Ceruloplasmin | 0.35 | g/L | 0.20–0.60 |
Ferritin | 285.5 | μg/L | 15.0–200.0 |
Fecal calprotectin | 131 | μg/g | <50 negative, >180 IBD |
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Blažević, T.; Aničić, M.N.; Ćavar, S.; Vuković, J. Autoimmune Pancreatitis Type 2, Biliary Cysts and Giardia lamblia. Children 2024, 11, 1075. https://doi.org/10.3390/children11091075
Blažević T, Aničić MN, Ćavar S, Vuković J. Autoimmune Pancreatitis Type 2, Biliary Cysts and Giardia lamblia. Children. 2024; 11(9):1075. https://doi.org/10.3390/children11091075
Chicago/Turabian StyleBlažević, Tonka, Mirna Natalija Aničić, Stanko Ćavar, and Jurica Vuković. 2024. "Autoimmune Pancreatitis Type 2, Biliary Cysts and Giardia lamblia" Children 11, no. 9: 1075. https://doi.org/10.3390/children11091075